支气管镜下肺减容术治疗慢性阻塞性肺疾病的研究进展

Progress of bronchoscopic lung volume reduction for chronic obstructive pulmonary disease

慢性阻塞性肺病的治疗是多模式的,包括戒烟、吸入药物治疗、流感疫苗接种、肺康复、氧疗等。对于进行了最佳药物治疗但症状缓解不明显的慢阻肺患者,手术治疗是恰当的选择。传统的肺减容手术仅适用于上叶为主的肺气肿患者,是一种风险较高的侵入性干预措施,日常的应用受到极大限制。支气管镜下肺减容术对身体造成的创伤小,手术的适应范围更广,可作为传统肺减容手术的替代方案,近年来发展了多种支气管镜介入治疗方法,本文就支气管镜肺减容术治疗慢性阻塞性肺疾病的研究进展进行综述。

Treatment of chronic obstructive pulmonary disease(COPD)is multimodal and includes smoking cessation,inhaled medication,influenza vaccination,pulmonary rehabilitation,oxygen therapy,etc.For COPD patients who have undergone optimal pharmacological treatment but do not experience significant symptom relief,surgical treatment is the appropriate option.Traditional pulmonary decompression surgery is only indicated for patients with upper lobe predominant emphysema and is a risky and invasive intervention with greatly limited daily use.Bronchoscopic lung volume reduction is less invasive and has a broader range of indications,and can be an alternative to conventional lung volume reduction surgery.