Abstract:
:The objective of the present study was to assess the physical fitness of patients after apical resection and partial apical pleurectomy for the treatment of primary spontaneous pneumothorax (PSP). Between 1982 and 1999, 58 patients received surgical treatment for PSP in our department. Twelve patients needed bilateral surgical intervention. At an average of 121 months after surgery (range, 16-231 months), the patients underwent follow-up assessments. Information was obtained on the basis of a questionnaire and from clinical examinations, including spirometry/body plethysmography and exercise testing with a bicycle ergometer. High-resolution computed tomography was used to identify postoperative changes of the lung apex. Forty-eight of 58 patients took part in the study, and all were found to be fully fit. High-resolution computed tomography gave evidence of new postoperative fibrocystic processes in 26 of the 31 affected apexes. One recurrence was observed (3.2%). Because apical resection cannot counteract pathogenetic mechanisms underlying parenchymal destruction and the formation of postoperative bullae among patients with a history of PSP, additional treatment of the apical pleura is necessary to prevent recurrences. Our results suggest that the physical fitness of patients with PSP can be completely restored postoperatively.
journal_name
Mil Medjournal_title
Military medicineauthors
Fackeldey V,Franke A,Schachtrupp A,Becker HP,Schwab Rdoi
10.7205/milmed.170.9.760keywords:
subject
Has Abstractpub_date
2005-09-01 00:00:00pages
760-3issue
9eissn
0026-4075issn
1930-613Xjournal_volume
170pub_type
杂志文章abstract:Objectives:Greater serum levels and dietary intake of vitamin D have been inversely associated with the risk of multiple cancers including colon cancer. Most colorectal cancers are thought to arise from adenomatous polyps, which become dysplastic under the influence of numerous factors. Prospective data are needed to d...
journal_title:Military medicine
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journal_title:Military medicine
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pub_type: 杂志文章,实务指引
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journal_title:Military medicine
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doi:
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更新日期:2011-05-01 00:00:00
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journal_title:Military medicine
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doi:
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journal_title:Military medicine
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doi:
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pub_type: 杂志文章
doi:
更新日期:1998-04-01 00:00:00
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journal_title:Military medicine
pub_type: 杂志文章
doi:
更新日期:1996-07-01 00:00:00
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journal_title:Military medicine
pub_type: 杂志文章
doi:
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doi:10.7205/milmed-d-09-00077
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doi:
更新日期:2003-08-01 00:00:00
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pub_type: 杂志文章,随机对照试验
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更新日期:2005-11-01 00:00:00
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doi:
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doi:
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pub_type: 临床试验,杂志文章,随机对照试验
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更新日期:2006-07-01 00:00:00
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