肺容积减少术治疗慢性阻塞性肺病6例  

Lung Volume Reduction Surgery for Treatment of 6 Cases of Patients with Chronic Obstructive Pulmonary Disease

作　　者：赵光敏[1] 史永康[1] 李九妹[1] 董庆亮[1] 杨建昌[1] 

机构地区：[1]大理医学院非直属附属医院胸外科,云南大理671000

出　　处：《大理医学院学报》2001年第3期54-56,共3页Journal of Dali Medical College

摘　　要：目的：探讨肺容积减少术治疗晚期慢性阻塞性肺气肿病的疗效。方法： 2000年 1－ 6月对 6例慢性阻塞性肺气肿病施行了肺容积减少术， 4例在胸腔镜下完成， 2例为小切口开胸完成。切除一侧肺容积约 20％～ 30％。结果：无手术死亡。随访 4～ 10月，平均 5. 8个月。 FEV1和 MVV分别增加到 77. 8％和 26. 6％； RV和 TLC明显下降； PaO2平均增加到 1. 3kPa；病人气急症状明显好转、活动能力和生活质量明显改善。结论：本组随访期较短，但结果证明肺容积减少术对有适应证的慢性阻塞性肺气肿患者疗效显著。Objective:To evaluate the clinical effect of the lung volume reduction surgery (LVRS) for treatment of advanced chronic obstructive pulmonary disease (COPD).Methods:From January 2000 to June 2000,6 patients with advanced COPD were treated by LVRS.4 patients of them were performed by Video－ Assisted Thoracic Surgery (VATS).2 patients of them were performed by microsurgery with opening chest.About 20％～ 30％ of total volume of each lung was resected.Results:No death happened during the operations.All patients were followed up for 4～ 10 months (mean 5.8 months).After the surgery,the mean forced expiratory volume in 1－ second (FEV1) and MVV significantly increased by 77.8％ and 22.6％ ,respectively.Total lung capacity (TLC) and residual volume (RV) markedly decreased by 2.8％ and 18.4％ ,respectively.PaO2 meamly increased by 9.44 mmHg.Six－ minute walk－ test significantly improved.Conclusions:The results suggest that LVRS is an effective method for selective patients with advanced COPD.

关 键 词：肺容积减少术 慢性阻塞性肺病 肺气肿 

分 类 号：R563.3[医药卫生—呼吸系统]