CAJ | 학술논문

目的总结胸腔镜肺减容术治疗慢性阻塞性肺气肿的临床疗效和应用价值.方法对15例慢性阻塞性肺气肿患者在胸腔镜下行肺减容术,采用胸腔镜辅助手术,胸腔镜专用切割缝合器切除过度充气的肺组织,对比患者手术前后肺功能指标的变化.结果所有患者术中顺利,无死亡,15例均康复出院,呼吸困难明显缓解.术后住院时间8～54(14.7±8.8)d.与术前比较,术后患者随访发现自觉症状明显改善,活动能力增强.经6个月和1年分别检查肺功能,各项参数均有逐步好转.结论严重肺气肿的患者经胸腔镜下肺减容术后各方面肺功能指标均有明显改善,活动能力逐步好转,均能恢复生活自理.胸腔镜下肺减容术具有创伤小,疼痛轻,恢复快的特点,为多数肺气肿患者所接受.
목적 총결흉강경폐감용술치료만성조새성폐기종적림상료효화응용개치.방법 대15례만성조새성폐기종환자재흉강경하행폐감용술,채용흉강경보조수술,흉강경전용절할봉합기절제과도충기적폐조직,대비환자수술전후폐공능지표적변화.결과 소유환자술중순리,무사망,15례균강복출원,호흡곤난명현완해.술후주원시간8～54(14.7±8.8)d.여술전비교,술후환자수방발현자각증상명현개선,활동능력증강.경6개월화1년분별검사폐공능,각항삼수균유축보호전.결론 엄중폐기종적환자경흉강경하폐감용술후각방면폐공능지표균유명현개선,활동능력축보호전,균능회복생활자리.흉강경하폐감용술구유창상소,동통경,회복쾌적특점,위다수폐기종환자소접수.
Objective To evaluate the efficacy of lung volum ereduction surgery(LVRS) on severe chronic obstrutive pulmonary emphysema (COPE).Methods Fifteen patients with COPE with LVRS were retrospectively analyzed.The lung volume was reduced with GIA by a degree of 20％-30％.The activity and the lung function indexes of patients before LVRS,half a year and 1 year after LVRS were analyzed.Results Fifteen patients recovered and were discharged in 8-54 (14.7 ± 8.8) days after LVRS.The forced expiratory volume in one second (FEV1),total lung capacity (TLC),residual volume (RV),and 6-minute walk distance (6MWD) of patients with LVRS were significantly improved after operation (P ＜ 0.05).Conclusion The lung volume reduction surgery provides a quite new and effective treatment for some cases of severe chronic obstructive pulmonary disease.