CAJ | 학술논문

目的：观察袖式肺叶切除术后早期呼吸道粘液纤毛清除功能的变化。方法：用放射性气溶胶吸入动态显像法分别在术前和术后第10天对15例行袖式上肺叶切除和20例行标准上肺叶切除患者的呼吸道粘液纤毛清除功能进行测定。结果：临床检查结果表明，行袖式肺叶切除术的15例患者术后第10天术侧的粘液清除功能比术前降低(P<O.01)，健侧与术前无显著差别(P>0.05)。而20例同期行标准肺叶切除术的患者术后第10天健侧和术侧的粘液清除功能均与术前无明显差别(P>0.05)。结论：袖式肺叶切除术后早期术侧呼吸道粘液纤毛清除功能明显下降，是术后早期呼吸道内分泌物潴留引起肺炎和肺不张等并发症的重要原因。
목적：관찰수식폐협절제술후조기호흡도점액섬모청제공능적변화。방법：용방사성기용효흡입동태현상법분별재술전화술후제10천대15례행수식상폐협절제화20례행표준상폐협절제환자적호흡도점액섬모청제공능진행측정。결과：림상검사결과표명，행수식폐협절제술적15례환자술후제10천술측적점액청제공능비술전강저(P<O.01)，건측여술전무현저차별(P>0.05)。이20례동기행표준폐협절제술적환자술후제10천건측화술측적점액청제공능균여술전무명현차별(P>0.05)。결론：수식폐협절제술후조기술측호흡도점액섬모청제공능명현하강，시술후조기호흡도내분비물저류인기폐염화폐불장등병발증적중요원인。
Objective:To investigate the alterations of mucociliary clearance (MCC) in the early period after sleeve lobectomy. Methods:The MCC of 15 patients undergoing upper sleeve lobectomy were determined by a noninvasive radioaerosol technique before and 10 days after operation. 20 patients undergoing standard upper lobectomy in the same period served as a contral group. Results:Clinical observation showed impaired MCC in the operated lungs by the 10th day after sleeve lobectomy. The MCC in the unoperated lungs of the bronchoplastic group and bilateral lungs of the contral group returned to preoperative level by the 10th day after operation. Conelusion: Sleeve lobectomy cause significant depression of MCC in the operated lungs in the early postoperative period,which contributes greatly to the occurrence of mucostasis and related complications.