[1]涂远荣　 林敏　 陈益光①　 林江泉②.电视胸腔镜下肺减容术治疗重度肺气肿6例[J].中国微创外科杂志,2001,01(5):296-297.
　Tu Yuanrong,Lin min,Cheng Yiguang,et al.Lung volume reduction surgery for severe emphysema by video-assisted.thoracoscopy[J].Chinese Journal of Minimally Invasive Surgery,2001,01(5):296-297.
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电视胸腔镜下肺减容术治疗重度肺气肿6例()
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《中国微创外科杂志》[ISSN:1009-6604/CN:11-4526/R]

卷:
01
期数:
2001年5期
页码:
296-297
栏目:
经验交流
出版日期:
2001-05-31

文章信息/Info

Title:
Lung volume reduction surgery for severe emphysema by video-assisted.thoracoscopy
作者:
涂远荣　 林敏　 陈益光①　 林江泉②
福建医科大学附属第一医院胸心外科福州，350005
Author(s):
Tu Yuanrong; Lin min; Cheng Yiguang; et al.
Department ofthoracic surgery, The First AffiliatedHospital ofFujian medical university, Fuzhou,350005, China
关键词:
肺气肿　肺减容术　胸腔镜
Keywords:
Emphysema　Lung volume reduction surgery　Thoracoscopy
分类号:
R65
文献标志码:
B
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25%～30％。结果无手术死亡，随访3～17个月，FEV1和PaO2增加24.6%和8.3%。RV、TLC和气道阻力分别下降24.6%、20.3%、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。
Abstract:
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 lungwas resected.　Re- sults　There was no operative death.All patientswere followed up for 3 to 17 months.AfterLVRS,the mean forced expiratory volume in 1 sec- ond(FEV1) and PaO2increased 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 tech- nique for patients with severe emphysema.It can relieve dyspnea and improve excise tolerance and the quality of life.

参考文献/References:

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备注/Memo

备注/Memo:
①（福建医科大学附属第一医院放射科）　 ②（龙岩市第一医院外科）　
更新日期/Last Update: 2014-09-26