探讨单侧肺减容手术治疗难治性气胸合并重度肺气肿的临床疗效

摘要

目的：探讨单侧肺减容手术治疗难治性气胸合并重度肺气肿的疗效。方法56例难治性气胸合并重度肺气肿患者进行单侧肺减容手术治疗，统计患者的治疗效果。结果所有患者均成功完成手术，患者治疗后PaO2、FVC、FEV1与治疗前相比明显较高（P＜0.05），PaCO2、TLC与治疗前相比明显较低（P＜0.05）。结论单侧肺减容手术能有效改善患者血气状况及肺功能，可在难治性气胸合并重度肺气肿患者中运用。%Objective To explore the efficacy of unilateral lung volume reduction surgery for intractable pneumothorax with severe emphysema. Methods 56 cases of patients with intractable pneumothorax with severe emphysema received unilateral lung volume reduction surgery, the patients’ treatment effects were analyzed. Results All patients successfully completed surgery, PaO2, FVC and FEV1 of patients compared with before treatment was signiifcantly higher (P<0.05), PaCO2 and TLC were signiifcantly lower (P<0.05). Conclusion The unilateral lung volume reduction surgery can improve blood gas status and lung function, and it can be used in patients with intractable pneumothorax and severe emphysema.