摘要
目的分析同期肺减容术(LVRS)治疗食管癌合并重度肺气肿的临床疗效。方法选取31例食管癌合并重度肺气肿患者,行食管癌根治术的同时行一侧LVRS,观察术后患者机械通气状况,自身对照术前动脉血气、肺功能等指标,判断术后的临床疗效。结果所有患者均顺利渡过围术期,无严重的呼吸衰竭和心脏等并发症,呼吸症状、肺功能和动脉血气各项指标明显改善,6 min步行距离显著延长。结论 LVRS为部分食管癌合并重度肺气肿合患者提供了新的治疗方法,术后改善了肺功能,提高了患者生活质量。
Objective To study the clinical effect of lung volume reduction surgery （LVRS） in the treatment of severe emphyse- ma patients complicated with esophageal carcinoma. Methods 31 patients with severe emphysema complicated with esophageal carcinoma were treated with esophageal resection and LVRS at the same time. The pulmonary functions and dyspnea indexes were compared before and after the operation. Results All patients survived through the perioperative period safely. There was no serious cardiac or respiratory failure occurred. Pulmonary functions and the results of arterial blood gas analysis were significantly improved. Six minutes walking distance （6MWD） increased significantly. Conclusion LVRS might be a new operative method for some patients with esophageal carcinoma complicated with severe emphysema, which can significantly improve their lung functions and quality of life.
出处
《临床肺科杂志》
2013年第10期1868-1869,共2页
Journal of Clinical Pulmonary Medicine
关键词
食管癌
重度肺气肿
肺减容术
Esophageal carcinoma
Severe emphysema
Lung volume reduction surgery
