■子宫内膜异位症最常见于骨盆区,约12%的人在其他区域或器官中也有这种病,这就是众所周知的肾盂外子宫内膜异位症。胸部子宫内膜异位症,也被归类为肾盂外子宫内膜异位症,表现有四种不同的形式:月经性气胸,月经血胸,月经咯血,或肺结节。月经性气胸是其中最常见的临床症状;然而,它经常被临床医生忽视,无法诊断和治疗。因此,提高临床医生对这种医疗状况的认识至关重要。
■作者介绍了一例34岁育龄妇女的病例报告,该妇女在月经期间反复发作自发性气胸,在此期间接受了胸腔镜手术以及妇科激素药物治疗,包括口服孕酮和孕酮。根据她的症状,怀疑是由胸部子宫内膜异位症引起的月经性气胸.
■临床症状,发病机制,诊断,并对经期气胸的治疗进行分析。此外,讨论了在这种情况下妇科激素药物的使用。通过比较患者的治疗过程来评估口服避孕药和孕激素药物的机制,突出他们的优点和缺点。
■胸腔镜手术联合术后妇科激素药物治疗可能是最有效的治疗方法。有几种妇科荷尔蒙药物可用,每个都有自己的优点和缺点,并且必须进行彻底的评估,并根据患者的具体情况正确定制,以获得积极的治疗结果。
UNASSIGNED: Endometriosis is most commonly found in the pelvic area, ~12% of people have it in other areas or organs, which is known as extrapelvic endometriosis. Thoracic endometriosis, which is also classified as extrapelvic endometriosis, manifests with four distinct forms: catamenial pneumothorax, catamenial hemothorax, catamenial hemoptysis, or lung nodules. Catamenial pneumothorax is the most common clinical symptom of these; however, it is frequently neglected by clinicians and goes undiagnosed and untreated. As a result, it is critical to raise awareness of this medical condition among clinicians.
UNASSIGNED: The authors present a case report of a 34-year-old woman of reproductive age who had recurrent episodes of spontaneous pneumothorax during menstruation and underwent treatment with thoracoscopic surgery as well as gynaecological hormonal drugs including oral progesterone and dienogest throughout this time. Based on her symptoms, a catamenial pneumothorax caused by thoracic endometriosis was suspected.
UNASSIGNED: The clinical symptoms, pathogenesis, diagnosis, and treatment of Catamenial Pneumothorax are analyzed. Furthermore, the usage of gynaecological hormone medications in this condition has been discussed. The mechanisms of oral contraceptives and progestin-based medications are evaluated by comparing the patient\'s treatment process, highlighting their pros and cons.
UNASSIGNED: Thoracoscopic surgery combined with postoperative gynaecological hormonal medications may be the most effective treatment for this issue. Several gynaecological hormonal medicines are available, each of which has its own set of pros and cons, and must be thoroughly evaluated as well as correctly tailored to the patient\'s specific circumstances to have a positive therapeutic outcome.