4例月经性气胸临床分析

The clinical analysis of 4 cases of catamenial pneumothorax

目的分析月经性气胸(Catamenial Pneumothorax,CPTX)的临床特点、处理及其预后。以提高临床医生对该疾病认识,减少误诊误治。方法分析4例CPTX患者的临床表现、处理和转归。结果 CPTX发病率较低,4例月经性气胸经内外科及妇产科联合治疗,未见复发。结论 CPTX是女性自发性气胸的一种特殊类型,当女性出现气胸时要考虑本病可能,应多科合作,联合治疗。

Objectives To evaluate the incidence of catamenial pneumothorax？ （CPTX） among women who have been referred for the surgical treatment of spontaneous pneumothorax （CPTX） and to study its Clinical features, treatment and prognosis. Methods A prospective study of women of reproductive age who have been referred to JiangSu Province Hospital for the surgical treatment of CPTX. Results CPTX is a rare clinical condition, Four catamenial pneumothorax patients were treated satisfactory by the muhidisciplinary meas- ures. Conclusions Spontaneous, recurring pneumothorax in women with no previous history of endometriosis can be the first manifestation of pleural endometriosis. The disorder requires surgical intervention, but early diagnosis and postoperative hormonal therapy are just as important for a successful outcome.