胸腔镜下单侧肺减容术35例临床体会  

Thoracoscopic unilateral lung volume reduction surgery:a report of 35 cases

作　　者：丁伟 秦旭东 倪斌 姚祖仁 DING Wei;QIN Xu-dong;NI Bin;YAO Zu-ren(Department of thoracic surgery,Nantong Hospital of Traditional Chinese Medicine,Nantong,Jiangsu 226001,China)

机构地区：[1]江苏省南通市中医院胸外科

出　　处：《中国临床研究》2019年第12期1711-1712,1716,共3页Chinese Journal of Clinical Research

摘　　要：目的总结胸腔镜下肺减容术治疗重度肺气肿的临床经验和教训。方法回顾性分析2016年1月至2018年5月35例胸腔镜下单侧肺减容患者的临床资料。结果除1例因术后肺部感染,引发呼吸衰竭死亡外,其余病人均痊愈出院,临床症状明显改善,术后半年与术前比较,FEV1上升[(1.02±0.21)L vs(0.68±0.17)L,P<0.05]。结论严格把握手术适应证和禁忌证,根据高分辨率CT及核素肺通气灌注检查预先设计好手术路径、精准微创操作是保证肺减容手术成功的关键。Objective To summarize the clinical experience and lessons of thoracoscopic lung volume reduction in the treatment of severe emphysema.Methods The clinical data of 35 patients with unilateral lung volume reduction under thoracoscopy from January 2016 to May 2018 were analyzed retrospectively.Results Except one patient died of respiratory failure due to postoperative pulmonary infection,the rest of the patients were cured and discharged from the hospital.The clinical symptoms were significantly improved.FEV1 increased half a year after the operation compared with that before the operation[(1.02±0.21)L vs(0.68±0.17)L,P<0.05].Conclusion It is the key to ensure the success of lung volume reduction surgery to strictly grasp the indications and contraindications of operation,design the operation path in advance according to high-resolution CT and radionuclide pulmonary ventilation and perfusion examination,and operate accurately and minimally.

关 键 词：胸腔镜 慢性阻塞性肺气肿 肺减容术 BODE指数 

分 类 号：R563.3[医药卫生—呼吸系统]