Abstract

The article is based on experience of treatment 515 patients with non-specific spontaneous pneumothorax (NSP). Men were 422 (83,56%), women - 83 (16,44%). 426 (84,35%) patients had a primary form of pneumothorax and 79 (15,65%) patients had a recurrent pneumothorax. In 390 patients, who underwent thoracoscopy, in 242 (62%) cases were diagnosed a bullous changes of the lungs. The experience of work of the authors demonstrates the necessity of actively-expectant tactics in treatment of NSP. The treatment had to be started with pleural punctions. The indication to surgical treatment was an absence of efficiency of conservative therapy, reccurense of NSP. The operative treatment was performed in 89 patients. In order to liquidation of bullous changes of the lungs and to create a stable pleurodesis authors used YAG-ND and СО2 lasers. The puposed algorithm of diagnosis and treatment of NSP has allowed to lower the frequency of recurrences of pneumothorax and to increase efficiency of surgical treatment of this disease.

About the authors

.

Author for correspondence.
Email: author@vestnik-surgery.com
.

.

Email: author@vestnik-surgery.com
.

.

Email: author@vestnik-surgery.com
.

References

  1. Babanin S.V., Ginzburg M.A., Ibishev Sh.F. Ekhografi-
  2. cheskaia diagnostika spontannogo pnevmotoraksa. Tezi-
  3. zy dokladov Ukrainskogo kongressa radiologov. Kiev,
  4. ; 47.
  5. Bisenkov L.N., Zubarev P.N., Trofimov V.M. i dr. Ne-
  6. otlozhnaia khirurgiia grudi i zhivota: Rukovodstvo dlia
  7. vrachei. Sankt-Peterburg, 2002; 215.
  8. Bisenkov L.N., Gladyshev D.V., Chuprina A.P. Algorit-
  9. my i standarty diagnosticheskikh i lechebnykh meropri-
  10. iatii pri spontannom pnevmotorakse. Materialy VII
  11. Vserossiiskogo s"ezda po endoskopicheskoi khirurgii.
  12. Endoskopicheskaia khirurgiia 2004; 1: 17-18.
  13. Paleeva N.R. Bolezni organov dykhaniia: Rukovodstvo
  14. dlia vrachei. M., 2000; 705-709.
  15. Vasil'ev V.N., Sharov Iu.K. Spontannyi pnevmotoraks.
  16. Vest. khir. 1989; 6: 132-136.
  17. Vishnevskii A.A., Nikoladze G.D., Romashov Iu.V. Semei-
  18. naia bulleznaia bolezn' legkikh, kak prichina spontanno-
  19. go pnevmotoraksa. Gr. i ser. sosud. khir. 1990; 6: 44-46.
  20. Gladyshev D.V. Videotorakoskopiia v kompleksnom le-
  21. chenii spontannogo pnevmotoraksa: Avtoref. ... kand.
  22. med. nauk. Sankt-Peterburg, 2004; 31.
  23. Dvoretskii L.I., Ageev A.T., Aksiuk Z.N. Retsidiviruiu-
  24. shchii spontannyi pnevmotoraks, kak proiavlenie sin-
  25. droma Marfana. Pul'monologiia 1994; 3: 88-91.
  26. Ishchenko B.I., Bisenkov L.N., Tiurin I.E. Luchevaia dia-
  27. gnostika dlia torakal'nykh khirurgov. Rukovodstvo dlia
  28. vrachei. SPb.:Izdatel'stvo «DEAN», 2001; 346.
  29. Koroleva T.G. Total'naia kostal'naia plevrektomiia v
  30. lechenii bol'nykh bulleznoi emfizemoi legkikh, oslozh-
  31. nennoi spontannym pnevmotoraksom: Avtoref. dis. …
  32. kand. med. nauk. SPb., 2004; 21.
  33. Kutushev F.Kh., Michurin N.V., Sorinov A.N., Chalenko
  34. V.V. Lechebnaia taktika pri spontannom pnevmotorakse.
  35. Vestnik khir. 1990;1: 32-34.
  36. Mova V.S. Taktika videotorakoskopicheskogo lecheniia
  37. spontannogo pnevmotoraksa. Endoskopicheskaia khirur-
  38. giia 1997; 14: 78-79.
  39. Muromskii Iu.A., Binetskii E.S., Khar'kin A.A. Patoge-
  40. nez i neposredstvennye iskhody khirurgicheskogo leche-
  41. niia spontannogo nespetsificheskogo pnevmotoraksa. Gr.
  42. i ser.-sosud. khirurgiia 1993; 4: 34-38.
  43. Nagaev A.S. Taktika operativnoi videotorakoskopii
  44. pri spontannom pnevmotorakse: Avtoref. dis.... kand.
  45. med nauk. Perm', 1999; 30.
  46. Neretin A.V. Luchevoe obsledovanie i prognoz u bol'-
  47. nykh spontannym pnevmotoraksom. Vestnik RGMU,
  48. ; 2: 119.
  49. Neusypin V.V., Zelenin M.M., Kozlov G.K. Diagnosti-
  50. ka i lechenie spontannogo pnevmotoraksa. Voen.-med.
  51. zhurn 1999; 2: 50-53.
  52. Nechaev V.I., Khovanov A.V., Krylov V.V. Sovremen-
  53. nyi vzgliad na problemu spontannogo pnevmotoraksa.
  54. Probl. tuberkuleza 2001; 9: 59-65.
  55. Potapenkov M.A., Shipulin P.P. Khirurgicheskoe leche-
  56. nie oslozhnennoi bulleznoi emfizemy legkikh. Gr. i
  57. ser.-sosud. khirurgiia 1993; 4:.39-42.
  58. Tatur A.A., Plandovskii A.V. Nespetsificheskii spon-
  59. tannyi pnevmotoraks. Etiologiia, patogenez i diagno-
  60. stika. BGMU. Informatsiia BMZh 2006; 1(15): 28-31.
  61. Khar'kin A.A. Operativnoe lechenie nespetsificheskogo
  62. spontannogo pnevmotoraksa i ego otdalennye rezul'-
  63. taty: Avtoref. dis.... kand. med nauk. M., 1999; 28.
  64. Shnitko S.N., Plandovskii V.A. Evoliutsiia khirurgiche-
  65. skogo lecheniia nespetsificheskogo spontannogo pnevmo-
  66. toraksa. Novosti khirurgii 1996; 1: 17-24.
  67. Iablonskii P.K., Atiukov M.A., Pishchik V.G. Vybor lecheb-
  68. noi taktiki i vozmozhnosti prognozirovaniia retsidi-
  69. vov u bol'nykh s pervym epizodom spontannogo pnevmo-
  70. toraksa. Meditsina XXI veka 2005; 1: 38-45.
  71. Baumann M.H., Noopen M. Pneumothorax. Respirology
  72. ; 9: 2: 157-164.
  73. Chou S.H., Cheng Y.J., Kao E.L. Is video-assisted thoracic
  74. surgery indicated in the first episode primary spontaneous
  75. pneumothorax? Interactive Cardiovscular and Thoracic
  76. Surgery 2003; 2: 4: 552-554.
  77. Henry, M., Arnold, T., Harvey, J. BTS guidelines for the
  78. management of spontaneous pneumothorax. Thorax 2003;
  79. : 2: 39-52.
  80. Morrison P.J., Lowry R.C., Nevin N.C. Familial primary
  81. spontaneous pneumothorax consistent with true autosomal
  82. dominantinheritance. Thorax 1998; 53: 151-152.
  83. Pearson F.G. Thoracic Surgery. Phyladelphia: Churchill
  84. Livingstone 2002; 1900.
  85. Phillips G.D., Trotman-Dickenson B., Hodson M.E., Geddes
  86. D.M. Role of CT in the management of pneumothorax
  87. in patients with complex cystic lung disease. Chest 1997;
  88. : 275-278.
  89. Roberts K., Steyn R., Bleetman A. New technique for treating
  90. spontaneous pneumothorax. Thorax 2004; 59(4): 355 -
  91. Schramel F.M., Postmus P.E., Vaderschueren R.G. Current
  92. aspects of spontaneous pneumothorax. Eur. Respir. J. 1997;
  93. : 6: 1372-1379.
  94. Tan C. The management of pneumothorax. The evidence
  95. for Cardiothoracic Surgery. Malta: Gutenberg Press Ltd
  96. : 107-117.
  97. Toth T., Fazekas T., Batorfi J. et al. Thoracoscopic lung resection
  98. by the help of Nd YAG laser. Acta Chirurgica Hungarica.
  99. -96; 49-52.
  100. Weiss L.D., Van Meter K.W. Cerebral air embolism in asthmatic
  101. scuba divers in a swimming pool. Chest 1995; 107:
  102. -1654.

Copyright (c) 2010 ., ., .

Creative Commons License
This work is licensed under a Creative Commons Attribution-NonCommercial-NoDerivatives 4.0 International License.

This website uses cookies

You consent to our cookies if you continue to use our website.

About Cookies