【摘要】 目的 探讨双侧单孔胸腔镜肺减容术治疗弥漫性肺气肿的远期疗效。方法 选取2013年1月—2016年1月东南大学附属徐州市中心医院收治的双侧弥漫性肺气肿患者38例,所有患者均在全麻下行单孔胸腔镜同期或分期双侧肺减容术治疗,对该38例患者的临床资料进行回顾性分析。结果 所有患者无围手术期死亡;5例患者术后1个月肺功能未得到改善(排除随访),另外33例患者术后随访期间6 min步行距离和呼吸困难评分均较术前有所改善,差异有统计学意义(P<0.05)。结论 双侧单孔胸腔镜肺减容术治疗弥漫性肺气肿安全有效,疗效可持续36个月左右。更多还原

【Abstract】 Objective To investigate the long-term efficacy of lung volume reduction surgery using single keyhole thoracoscope for patients with diffuse emphysema. Methods A retrospective analysis was conducted on38 patients with diffuse emphysema, which were collected from the affiliated Xuzhou Central Hospital of Southeast University between January 2013 and January 2016. All patients were treated with bilateral lung volume reduction surgery adopting single keyhole thoracoscope in one stage or by stages under general anesthesia, and all clinical information was reviewed. Results All patients survived at peri operation period. Five cases have no improvement at lung function after one month(exclude follow-up). Compared with pre-operation, the remaining 33 patients have significantly improved in 6-minute-walk distance and dyspnea scores(P<0.05). Conclusion Lung volume reduction surgery using single keyhole thoracoscope is safe and effective in the treatment of patients with diffuse emphysema.更多还原