电视胸腔镜肺减容术治疗27例重度肺气肿的疗效分析

The outcome of video efficacy-assisted thoracoscopic lung volume reduction surgery for 27 patients with severe emphysema

目的探讨电视胸腔镜(VATS)下行肺减容术(LVRS)治疗重度肺气肿的临床疗效。方法回顾性分析27例重度肺气肿患者在电视胸腔镜下行LVRS的资料,其中双侧12例,单侧15例,切除每侧肺容积的20%～40%,比较手术前后的肺功能、血气分析等指标变化。结果 15例行VATS下单侧LVRS,4例同期行VATS下双侧LVRS,8例半年内分期行VATS下双侧LVRS,无死亡病例。术前与术后的各项指标比较,肺功能、血气分析及6min步行距离,差异有统计学意义。结论 VATS下LVRS治疗重度肺气肿可以取得良好疗效,双侧LVRS是更好的治疗手段。

Objective To evaluate the outcme of the video-assisted thoracic surgery （VATS） Bank of lung volume reduction surgery （LVRS） for severe emphysema therapy. Methods A retrospective analysis of 27 cases of VATS in patients with severe emphysema, LVRS intraoperative data, bilateral in 12 eases, unilateral in 15 eases, resection of each side of the lung volume of about 20 % - 40 %, compared pulmonary function and blood gas analysis before and after surgery. Results The preoperative and postoperative lung function, blood gas analysis and 6min walking distance were more significant. Conclusions Video-assisted thoraeoscopic lung volume reduction surgery for severe emphysema can achieve a good effect, bilateral LVRS should be a better treatment.