CAJ | 학술논문

目的评价电视胸腔镜肺减容术治疗慢性阻塞性肺气肿的临床疗效.方法回顾性分析2002年6月至2012年6月,68例重度慢性阻塞性肺气肿患者施行肺减容术的随访资料.随访观察对比术前及术后6个月、1年和2年的第1秒用力呼气量(FEV1.0)、最大肺活量(FVC)、残气量(RV)、动脉血氧分压(PaO2)、动脉血二氧化碳分压(PaCO2)和6 min步行距离(6-MWD)的改变.结果术后患者肺功能、血气指标、6 min步行距离均有明显改善.结论胸腔镜肺减容术能明显改善部分具有手术适应证的重度慢性阻塞性肺气肿患者的临床症状和生理状况,提高生活质量.
목적 평개전시흉강경폐감용술치료만성조새성폐기종적림상료효.방법 회고성분석2002년6월지2012년6월,68례중도만성조새성폐기종환자시행폐감용술적수방자료.수방관찰대비술전급술후6개월、1년화2년적제1초용력호기량(FEV1.0)、최대폐활량(FVC)、잔기량(RV)、동맥혈양분압(PaO2)、동맥혈이양화탄분압(PaCO2)화6 min보행거리(6-MWD)적개변.결과 술후환자폐공능、혈기지표、6 min보행거리균유명현개선.결론 흉강경폐감용술능명현개선부분구유수술괄응증적중도만성조새성폐기종환자적림상증상화생리상황,제고생활질량.
Objective To evaluate the outcome of lung volume reduction surgery (LVRS)under video-assisted thoracoscopy in patients with severe chronic obstructive pulmonary emphysema.Methods The follow-up date of 68 patients with severe emphysema underweut LVRS by video-assisted thoracoscopy were analyzed retrospectively betweeu June 2002 to June 2012.Mean FEV1.0 、FCV 、RV、PO2 、PCO2 、mean 6MWT were assessed before their surgery and 6 months,1-year and 2-years after their surgery respectively.Results Compared with their preoperative results,Lung function,arterial blood gasanalysis and 6-minute walk distance (6-MWD) increased outstanging.Conclusion LVRS by VATS provides significant clinical and physiological improvement for the majority of patients with severe chronic obstructive pulmonary emphysema.