内科肺减容术在慢性阻塞性肺疾病最新研究进展

Advances research on bronchoscopic lung volume reduction surgery for obstructive airway diseases

阻塞性呼吸道疾病是多种疾病组成的,但它们都可因炎症导致气道狭窄,从而导致呼吸做功增加.由于其患病人数多,病死率高,严重影响患者的劳动能力和生活质量.不同群体的哮喘、慢性支气管炎和肺气肿最佳治疗策略应该是多方面的,如高危肺气肿患者应包括药物学和非药物方法以及手术治疗.回顾当前支气管镜介入水平,近十年其发展目标是更好地控制哮喘症状和缓解由于不适合肺减容手术的肺气肿患者症状,由此可见,新型支气管镜技术针对气道阻塞性疾病治疗有很大帮助.

Obstructive pulmonary disease is composed of a variety of diseases, nevertheless, they are able to induce the airway narrow and result in increase of work of breathing force. The incidence and mortality are high, which seriously influence the patients~ ability to work and quality of life. There are many optimal treatment strategies of asthma, chronic bronchitis, and emphysema in different groups, such as pharmacological and non-pharmacological methods as well as surgery ~or high-risk patients with emphysema. In recent decades,the development objective of bronchoscopic iilterverition is to better control asthma symptoms and relieve symptoms of patients with emphysema who are not suitable for the lung volume reduction surgery. This demonstrates that new bronchoscopic techniques will be helpful for treatment of airway obstruction disease in future.