术前肺功能检查与肺癌术后的评估

Preoperative Pulmonary Function Test and the Evaluation of Postoperative Lung Cancer Patients

总结了44例肺癌切除患者的术前肺功能指标,比较了有关肺功能指标与术后肺部并发症的相关性,得出第一秒钟最大呼气量(FEV_1)、FEV_1％,最大呼气流速(PEFR)及最大随意通气量(MVV)均与术后肺部并发症有显著相关性。(P<0.05～0.01)。较之分侧肺功能,负荷试验与核素检查等复杂先进技术,常规肺功能检查仍不失为有效的肺癌手术预后评估的重要手段。

In this article, we studied the relation between the preoperative values of spirometry and the postoperative pulomonary complications(PPC) within 44 lung cancer patients who underwent lung resection. We found that FEV1 FEV1%、PEFR and Mvv significantly related to PPC(P<0. 05-0. 01 ). We considered the routine pulmonary function test still remains a valuable method for evaluating the prognosis of lung cancer patients after op eration,even compare to more complicate and costly tests,such as split lung function test,ra-dionuclear emissions ,exercise testing ect.