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肺减容术治疗慢性阻塞性肺气肿疗效的临床观察
引用本文:杨宁,何佳虹,冯永健,刘晓川,薛会岗,董斌. 肺减容术治疗慢性阻塞性肺气肿疗效的临床观察[J]. 中华肺部疾病杂志(电子版), 2010, 3(4): 27-29. DOI: 10.3877/cma.j.issn.1674-6902.2010.04.010
作者姓名:杨宁  何佳虹  冯永健  刘晓川  薛会岗  董斌
作者单位:广安市人民医院胸心外科,广安,638001
摘    要:
目的探讨肺减容术(LVRS)对慢性阻塞性肺气肿(COPE)患者的疗效。方法 23例该类患者用直线切缝器切除肺边缘20%~25%弥漫性大泡肺组织,常规用3/0prolene缝线连续往返缝合,必要时3/0prolene缝线加毛毡垫片行褥式缝合。结果本组共23例,采用LVRS治疗,无1例死亡,发生肺泡漏气者等并发症5例(21.7%)。23例中有17例随访,自觉症状均不同程度改善。结论 LVRS对于COPE患者,特别是合并多发性肺大泡患者的近期治疗效果明显,但远期效果仍有待进一步观察。该方法简单易行,易于基层医院推广。

关 键 词:肺减容术  慢性阻塞性肺气肿  肺大泡

Clinical observation of lung volume reduction surgery in patients with chronic obstructive pulmonary emphysema
YANG Ning,HE Jia-hong,FENG Yong-jian,LIU Xiao-chuan,XUE Hui-gang,DONG Bin. Clinical observation of lung volume reduction surgery in patients with chronic obstructive pulmonary emphysema[J]. Chinese Journal of lung Disease(Electronic Edition), 2010, 3(4): 27-29. DOI: 10.3877/cma.j.issn.1674-6902.2010.04.010
Authors:YANG Ning  HE Jia-hong  FENG Yong-jian  LIU Xiao-chuan  XUE Hui-gang  DONG Bin
Affiliation:YANG Ning,HE Jia-hong,FENG Yong-jian,LIU Xiao-chuan,XUE Hui-gang,DONG Bin.(Department of Cardiothoracic Surgery,People's Hospital of Guang'an City,Guang'an 638001,China)
Abstract:
Objective To evaluate the efficacy of lung volume reduction surgery(LVRS)in patients with chronic obstructive pulmonary emphysema(COPE).Methods Twenty-three patients with COPE were treated with lung edge resection of 20%-25% diffuse bullous lung tissue by linear suturing instrument,and with continuous cross-stitch suture by 3/0 prolene suture,if necessary,with 3/0 prolene suture and felt gasket mattress suture.Results Of 23 cases treated with LVRS in this group,neither died,and the complications such as alv...
Keywords:Lung volume reduction surgery  Chronic obstructive pulmonary emphysema  Lung bullae  
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