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首页> 外文期刊>Surgical Endoscopy >Additional mechanical pleurodesis after thoracoscopic wedge resection and covering procedure for primary spontaneous pneumothorax.
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Additional mechanical pleurodesis after thoracoscopic wedge resection and covering procedure for primary spontaneous pneumothorax.

机译：胸腔镜楔形切除术和原发性自发性气胸的覆盖程序后的其他机械性胸膜固定术。

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BACKGROUND: Additional mechanical pleurodesis for the treatment of primary spontaneous pneumothorax (PSP) is believed to reduce the recurrence of PSP, and a covering procedure with absorbable mesh also shows comparable results. This study was conducted to determine whether additional mechanical pleurodesis would be effective in reducing recurrence after thoracoscopic wedge resection and covering procedure. MATERIALS AND METHODS: Between May 2003 and August 2005, 99 patients underwent thoracoscopic bullectomy with staple line covering with absorbable cellulose mesh and fibrin glue followed by an additional mechanical pleurodesis. These patients were compared with 98 patients who underwent thoracoscopic bullectomy with staple line coverage alone. RESULTS: The additional mechanical pleurodesis group had findings comparable to those of the coverage group for duration of postoperative chest drainage, length of hospital stay, and complication rate. After median follow-up of 29.2 months, postoperative recurrence occurred in four patients (4.0%). CONCLUSIONS: Additional mechanical pleurodesis after covering procedure is also effective in decreasing postoperative recurrence of PSP.
机译：背景：用于治疗原发性自发性气胸（PSP）的其他机械胸膜固定术被认为可减少PSP的复发，并且采用可吸收网片覆盖程序也显示出可比的结果。进行这项研究是为了确定在胸腔镜楔形切除和覆盖手术后是否进行额外的机械胸膜固定术可以有效减少复发。材料与方法：自2003年5月至2005年8月，有99例患者接受了胸腔镜下大牛切除术，其中吻合线覆盖有可吸收的纤维素网和纤维蛋白胶，并进行了机械性胸膜固定术。将这些患者与98例仅行主钉覆盖的胸腔镜大叶切除术患者进行比较。结果：附加机械性胸膜固定术组的术后胸腔引流时间，住院时间和并发症发生率与覆盖组相当。中位随访29.2个月后，四名患者（4.0％）发生了术后复发。结论：覆盖手术后进行额外的机械胸膜固定术也可有效减少PSP术后复发。

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