CAJ | 학술논문

目的探讨电视胸腔镜治疗慢性阻塞性肺疾病(COPD)合并气胸的近期(≤1年)疗效.方法 2005年6月至2007年6月我院手术治疗52例COPD合并气胸患者,分胸腔镜组(n=28)和开胸组(n=24),术后第1、6、12个月进行随访,测定并比较2组BODE各指数,包括体重指数、气流阻塞程度、呼吸困难及运动能力.结果全组无手术死亡和严重并发症发生,气胸无复发;术后第1个月,胸腔镜组与开胸组在气流阻塞程度[(58.62±15.73)%与(50.12±11.38)%]、呼吸困难程度[(1.04±0.37)s与(1.72±0.45)s]及运动能力[(387.32±52.07)m与(318.35±61.52)m]上比较,差异有统计学意义(P均<0.05);术后第6个月2组体重指数相比[(27.19±2.18)kg/m2与(20.90±2.35)kg/m2],差异有统计学意义(P<0.05);术后第12个月2组BODE各指数差异无统计学意义(P>O.05).结论电视胸腔镜治疗COPD合并气胸.术后早期可显著提高患者的生活质量.
목적 탐토전시흉강경치료만성조새성폐질병(COPD)합병기흉적근기(≤1년)료효.방법 2005년6월지2007년6월아원수술치료52례COPD합병기흉환자,분흉강경조(n=28)화개흉조(n=24),술후제1、6、12개월진행수방,측정병비교2조BODE각지수,포괄체중지수、기류조새정도、호흡곤난급운동능력.결과 전조무수술사망화엄중병발증발생,기흉무복발;술후제1개월,흉강경조여개흉조재기류조새정도[(58.62±15.73)%여(50.12±11.38)%]、호흡곤난정도[(1.04±0.37)s여(1.72±0.45)s]급운동능력[(387.32±52.07)m여(318.35±61.52)m]상비교,차이유통계학의의(P균<0.05);술후제6개월2조체중지수상비[(27.19±2.18)kg/m2여(20.90±2.35)kg/m2],차이유통계학의의(P<0.05);술후제12개월2조BODE각지수차이무통계학의의(P>O.05).결론 전시흉강경치료COPD합병기흉.술후조기가현저제고환자적생활질량.
Objective To study the short-term(≤1 year) effect of video-thoracoscope in the treatment of chronic obstructive pulmonary diseases (COPD) accompanied with pneumothorax.Methods 52 COPD cases with pneumothorax from June 2005 to June 2007 were divided into thoracoscope group(n=28) and open heart group(n=24).The patients were followed up at 1,6 and 12 month after surgery,for determination of BODE index,including body mass index,air block,difficulty in respiratory and motor ability.Results No operative death and servere complicatins occurred.Pneumothorax did not relapse.One month after surgery,air block was[(58.62±15.73)% vs (50.12±11.38)%],difficulty in respiratory was[(1.04±0.37)s vs( 1.72±0.45)s] and motor ability was [(387.32±52.07)m vs (318.35±61.52)m] in thoracoscope group and open heart group (P<0.05).At the six month after surgery,body mass index was[(27.19±2.18)kg/m2 vs (20.90±2.35)kg/m2] in thoracoscope group and open heart group(P<0.05);At the 12 month after operation,there was no significant difierence in BODE index between the two groups(P>0.05).Conclusions Video-thoracoscope in treating COPD with pneumothorax can remarkably improve the quality of life early after surgery.