月经性气胸的外科治疗体会

Experience of Surgical Treatment of Catamenial Pneumothorax

月经性气胸临床较少见,以育龄期女性月经期反复发作的自发性气胸为特征,常发生在月经来潮后的72小时内,多见于右侧胸腔。目前其发病机制尚不明确,可能与子宫内膜异位症或膈肌穿孔有关。其治疗方法包括胸外科手术、妇科手术、激素及中药治疗。电视胸腔镜下手术目前是治疗月经性气胸的一线方法,激素对于提高外科治疗效果有一定作用。

Catamenial pneumothorax （CP） is rare in clinic, charactered with recurring, spontaneous pneumothorax in females who are in reproductive age. The pneumothorax often occurs in 72 hours after the menses ,mostly on the right side. The etiology of CP is not clear yet. Endometriosis and diaphragmatic defects seem to play the most important roles in the development of CP. Treatments for catamenial pneumothorax involve thoracic surgery, hormonal therapy, gynecologic surgery and traditional Chinese medicine. Video-assisted thoracoscopic surgery （VATS） is the first choice in the treatment of CP. Hormonal therapy seems to be effective in sustaining the effects of surgical treatment.