CT引导下经皮肺穿刺胸腔巨大肺大疱减容术的临床应用

Clinical application of giant pulmonary bullae volume reduction surgery by CT-guided percutaneous puncture

目的探讨CT引导下经皮肺穿剌胸腔巨大肺大疱减容术的可行性、安全性及疗效。方法 28例巨大肺大疱患者,CT引导下经皮肺穿刺肺大疱注射硬化剂多西环素,引流管负压吸引,术后1-3个月复查CT、肺功能,应用SPSS13.0软件系统进行统计分析。结果 28例患者胸腔巨大肺大疱减容术后肺大疱平均直径均较前明显缩小(P<0.05),肺功能较前明显改善(P<0.05)。结论 CT引导下经皮穿剌胸腔巨大肺大疱减容术疗效明确、创伤小、并发症少、值得推广。

Objective To investigate the feasibility,safety and efficiency of giant pulmonary bullae volume reduction surgery by CT-guided percutaneous puncture.Methods 28 patients diagnosed with giant pulmonary bulla were treated by CT-guided percutaneous puncturing and injection of sclerosis agent(doxycycline)and negative pressure drainage.CT-scan and pulmonary function were reexamined after 1-3months.The data was analyzed by SPSS 13.0 software system.Results The average diameter of 28 patients pulmonary bullae after treated by volume reduction surgery was less than before(P<0.05)and the pulmonary function was obviously improved(P<0.05).Conclusion Giant pulmonary bullae vulome reduction surgery by CT-guided percutaneous puncturing has affirmative efficiency with less truama and complications,which is worthy of being popularized.