CAJ | 학술논문

　　目的对比胸腔镜下同期双侧肺减容术与序贯双侧肺减容术对肺气肿患者术后肺功能、心功能改善。方法对我院2010.1-2013.12胸腔镜手术治疗肺气肿患者进行回顾性研究，对患者术前、术后肺功能指标、血气分析指标、术后心功能、带管时间行回顾研究。结果25例序贯双侧肺减容患者术后FEV1明显改善，PaO2明显升高（P ﹤0.05）,PaCO2明显降低（P ﹤0.05）,CO升高（P >0.05）,同期双侧肺减容患者要优于序贯肺减容患者。结论胸腔镜下肺减容手术对患者肺功能、心功能有改善，同期双侧肺减容优于双侧序贯肺减容。
　　목적대비흉강경하동기쌍측폐감용술여서관쌍측폐감용술대폐기종환자술후폐공능、심공능개선。방법대아원2010.1-2013.12흉강경수술치료폐기종환자진행회고성연구，대환자술전、술후폐공능지표、혈기분석지표、술후심공능、대관시간행회고연구。결과25례서관쌍측폐감용환자술후FEV1명현개선，PaO2명현승고（P ﹤0.05）,PaCO2명현강저（P ﹤0.05）,CO승고（P >0.05）,동기쌍측폐감용환자요우우서관폐감용환자。결론흉강경하폐감용수술대환자폐공능、심공능유개선，동기쌍측폐감용우우쌍측서관폐감용。
Objective: To compare the effect of the same term and sequential lung volume reduction by video assisted thoracoscopic lung volume reduction surgery (LVRS) in chronic obstructive pulmonary disease(COPD) of heterogeneity.Methods: The clinical data of LVRS cases with severe COPD performed by video assisted thoracoscopy from January 2010 to December 2013 was retrospectively analyzed. Lung function、blood gas analysis、cardiac function、time of drainage tube were included. Results: The improvement of FEV1 、PaO2、,PaCO2、CO are obviously in patients after sequential lung volume reduction surgery. The same term lung volume reduction is better than sequential one.Conclusion: Video assisted thoracoscopic LVRS brings improvement of lung function and cardiac function of patients with COPD. The same term lung volume reduction is better than sequential one.