支气管镜肺减容术13例并发症分析

Thirteen cases of bronchoscopic lung volume reduction and complication analysis

目的 支气管镜肺减容术（BLVR）是近年来兴起的COPD治疗的新技术,但对其治疗并发症认识尚不充分.本文通过本中心的临床实践总结BLVR可能出现的短期及长期并发症.方法 纳入13例叶间裂完整的非均质型肺气肿患者,置入单向活瓣进行BLVR治疗,并通过门诊、电话随访.结果 13例接受BLVR治疗的肺气肿患者,术后短期并发症最常见的为咳嗽、咯少量血丝痰,1例气胸,1例急性左心功能衰竭,经治疗后均能好转出院,无需取出活瓣.平均随访10个月,观察到的长期并发症包括肺炎1例、支气管扩张1例及支气管扭曲、肺脓肿1例.无因BLVR操作死亡情况.结论 BLVR有一定比例的操作及活瓣相关并发症,但无介入治疗相关的疾病恶化及死亡,是相对安全的微创介入治疗手段.

Objective Bronchoscopic lung volume reduction （BLVR） is a new technique for chronic obstructive pulmonary disease .But rare was known about its complication .This study was to find out short time and long-term complication . Methods 13 cases of heterogeneous emphysema with intact interlobar fissure were inrolled ,and accepted BLVR ,and were followed up in the clinic or by phone .Results Most common short time complication was cough and sputum with little blood . One case with pneumothorax and one with acute left heart failure .No valves were attracted for short time complication . Patients were followed up for average 10 months .Long-term complications included a case of pneumonia , a case of bronchiectasis and a case of lung abscess with torsional bronchus .No one was died because of BLVR procedure and complication . Conclusions There are some complications for BLVR , but no deterioration and death .BLVR is a relatively safe procedure .