月经伴随气胸自1958年Maurer报告以来,至今文献已有72例,但因其发病机理仍不十分清楚,所以治疗方法亦无定论。本文作者报告月经伴发气胸,经手术治疗未复发的2例,并结合文献提出了诊断和治疗意见。月经伴随气胸的临床表现为:1.气胸的发生与排卵性月经有密切关系,但不一定月经时经常发生。2.好发年龄在30～40岁,多见于右侧。3.服排卵抑制剂可预防气胸的发生或可使症状减轻。4.妊娠期不发病。5.盆腔内有子宫内膜症。6.肺脏往往无异常发现。7.膈肌中心腱有一缺损孔。8.膈肌、胸膜及罕见的肺内子宫内膜移位症。上述2例的本质是子宫内膜移 Menstruation with pneumothorax Since the Maurer report of 1958, there have been 72 cases in the literature so far, but the pathogenesis of menstruation is still unclear, so the treatment is inconclusive. The authors report menses with pneumothorax, after surgery for the treatment of non-relapse in 2 cases, combined with the literature put forward the diagnosis and treatment. Menstruation accompanied by pneumothorax clinical manifestations: 1. The occurrence of pneumothorax and ovulation menstrual are closely related, but not always occur when menstruation. Good hair age at 30 to 40 years old, more common on the right. 3. Ovulation inhibitor can prevent the occurrence of pneumothorax or alleviate the symptoms. 4 pregnancy is not disease. 5. Pelvic endometriosis. 6. The lungs are often found no abnormalities. 7. Diaphragm center tendon has a defect hole. Diaphragmatic, pleural and rare pulmonary endometriosis. The essence of the above two cases of endometrial movement