慢性阻塞性肺疾病伴肺大疱患者的微创外科治疗.pdfVIP

2011 1 16 1 31 1 1 1, 2 1 1 1 王磊 李国庆 钟竑 梅举 张辅贤 肖海波 ( COPD) 200 1 10 2009 6 72 COPD , COPD 52, 20 ; , ; , ; 36 , + 46( 10) 30~ 240 m in, 10~ 72 d 64 2 ~ 72 , , ; 36(P 005 ) COPD ; ; 1 M iniinvasive Sugery for cases w ith chronic obstructive pulm onary disease and bullae of lung WANG Lei, LI 1 1, 2 1 1 1 Guoqing , ZHONG Hong ,MEI Ju , ZHANG Fuxian ,XIAOH aibo 1. Depart ent of Cardiothoracic SurgeryX inhua H osp ita,l School of M edicine, Shanghai Jiaotong University, Shanghai 200092, China; 2. D ep art ent of Cardiothoracic SurgeryX inhuaH osp ital(Chong ing), School of M edicine, Shanghai Jiaotong University, Shanghai 202150, China Abstract Objective T o explore he effec of m in iin vasive sugery for cases w i h ch ron ic obs ruc ive pu lm onary disease( COPD) and bu llae of lung and o summ arize he su rgical ream en experien ce. M ethods F rom O c ob er 2001 o June 2009, m in iin vasive sugery w as p erform ed on 72 p a ien s su ffering from COPD and bu llae of lung, am ong wh ich, 20 pa ien s accompanied w i h pneum a o horax. T he bu llae resec ion w as comp le e v isual- assis ed horacic su rgery ( VAT S ) if here w as only a few nond ispersib le bul laes and he adhesion cou ld be separa ed in horacic cavi y. Li le incision w as added w hen h ere w as a large numb er of bu llaes and he bul laes w ere in dissem in a ed d is ribu ion, or i w as d if ficul o separa ed he adhesion in horacic cavi y. Con ras and an aly sis