电视胸腔镜下肺减容术治疗重度肺气肿6例  

Lung volume reduction surgery for severe emphysema by video-assisted.thoracoscopy

作　　者：涂远荣[1] 林敏[1] 陈益光[2] 林江泉[3] 

机构地区：[1]福建医科大学附属第一医院胸心外科,福州350005 [2]福建医科大学附属第一医院放射科 [3]龙岩市第一医院外科

出　　处：《中国微创外科杂志》2001年第5期296-297,共2页Chinese Journal of Minimally Invasive Surgery

基　　金：福建省科委科研基金资助项目 (编号 98 Z 2 17)

摘　　要：目的　评价电视胸腔镜下肺减容术治疗重度肺气肿的疗效。　方法　对 6例重度肺气肿进行胸腔镜肺减容术 ,其中同期双侧 2例 ,单侧 4例。切除一侧肺容积约 2 5 %～ 30 %。　结果　无手术死亡 ,随访 3～ 17个月 ,FEV1和PaO2 增加2 4 6 %和 8 3%。RV、TLC和气道阻力分别下降 2 4 6 %、2 0 3%、47 1%。　结论　严重肺气肿患者经肺减容术后呼吸困难缓解 ,生活质量改善。Objective To investigate clinical effects of video assisted thoracoscopic lung volume reduction surgery(LVRS) for severe emphysema. Methods Six patients with severe emphysema underwent lung volume reduction surgery by video assisted thoracoscopy.The LVRS was performed unilateraly in 4 and bilateraly in 2 through median stemination.20%～30% of total volume of lung was resected. Results There was no operative death.All patients were followed up for 3 to 17 months.After LVRS,the mean forced expiratory volume in 1 second(FEV 1) and PaO 2 increased by 24 6% and 8 3%,respectively,Total lung capacity(TLC),residual volume(RV) and ventilatory assistance decreased by 24 6%,20 3% and 47 1% respectively Conclusions LVRS by video-assited thoracoscopy is an effective and safe technique for patients with severe emphysema.It can relieve dyspnea and improve excise tolerance and the quality of life.

关 键 词：电视胸腔镜 肺减容术 手术治疗 重度肺气肿 影像学检查 气管插管 

分 类 号：R655.3[医药卫生—外科学]