| 电视胸腔镜辅助小切口行双侧肺减容术治疗重度肺气肿 |
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| 引用本文： | 吴永国,宋晓军,丛波,彭传亮,孙启峰,赵小刚.电视胸腔镜辅助小切口行双侧肺减容术治疗重度肺气肿[J].腹腔镜外科杂志,2009,14(6):411-413. |
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| 作者姓名： | 吴永国 宋晓军 丛波 彭传亮 孙启峰 赵小刚 |
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| 作者单位： | 1. 滨州阳信县人民医院,山东,滨州,251800
2. 山东大学第二医院 |
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| 摘 要： | 目的:评价电视胸腔镜辅助小切口行双侧肺减容术治疗重度肺气肿的疗效,并总结围术期的处理经验。方法:回顾分析2006年以来为18例重度肺气肿患者实施肺减容术的临床资料,对比分析手术前后肺功能指标和动脉血氧分压的变化。结果:本组无手术死亡病例,2例合并急性呼吸衰竭。术后随访半年,平均第1秒用力呼气量增加39.2%,用力肺活量增加20.1%,残气量下降26.5%,肺总量下降23.1%,动脉血氧分压平均上升15.1%,与术前相比差异有统计学意义(P<0.05)。结论:电视胸腔镜辅助小切口行双侧肺减容术是经济有效的治疗方法,能明显改善重度肺气肿患者的临床症状和生理状况,增加活动能力。
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| 关 键 词： | 胸腔镜术 肺气肿 肺切除术 围手术期 |
Thoracoscopic-assisted bilateral lung volume reduction surgery for severe pulmonary emphysema with small incision |
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| WU Yong-guo,SONG Xiao-jun,CONG Bo,et al..Thoracoscopic-assisted bilateral lung volume reduction surgery for severe pulmonary emphysema with small incision[J].Journal of Laparoscopic Surgery,2009,14(6):411-413. |
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| Authors: | WU Yong-guo SONG Xiao-jun CONG Bo |
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| Institution: | WU Yong-guo1,SONG Xiao-jun1,CONG Bo2,et al.1.Dept.of Thoracic Surgery,Yangxin People's Hospital,Binzhou 251800,China,2.The Second Hospital of Sh,ong University |
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| Abstract: | Objective:To evaluate the therapeutic effect of thoracoscopic-assisted bilateral lung volume reduction surgery(LVRS)for severe pulmonary emphysema with small incision,and summarize the experience of perioperative period.Methods:The clinical date of 18 patients with severe emphysema underwent LVRS since 2006 were analyzed retrospectively,preoperative and postoperative lung function parameter and arterial partial pressure of oxygen(PaO2)were comparatively analyzed.Results:There was no operative death.Postoper... |
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| Keywords: | Thoracoscopy Pulmonary emphysema Pneumonectomy Perioperative period |
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