Stentoft P, Yndgaard S, Brenøe J, Ravn J B, Svendsen U G, Olsen P S
H:S Rigshospitalet.
Ugeskr Laeger. 1999 Feb 22;161(8):1095-9.
Lung volume reduction surgery is a new surgical procedure for treatment of patients with pulmonary emphysema. At the operation the most peripheral parts of the lung are resected. Only 15-20% of the patients admitted for lung volume reduction surgery are suitable for operation. The preliminary results have demonstrated improvement in lung function in the majority of the patients. Most of the reports comprise small numbers of patients and have a short time of observation. The longest reported period of observation for a larger number of patients is 24 months and shows a continuing improvement in lung function, dyspnoea and six minute walk test. Because of the high incidence of emphysema, lung volume reduction is a procedure that could reach large extension in the future. However, better definition of criteria of inclusion and better evaluation of the operative procedures are needed.
肺减容手术是一种治疗肺气肿患者的新型外科手术。手术时切除肺的最外周部分。因肺减容手术入院的患者中只有15%至20%适合手术。初步结果表明,大多数患者的肺功能有所改善。大多数报告的患者数量较少且观察时间较短。报告的对大量患者最长观察期为24个月,结果显示肺功能、呼吸困难和六分钟步行试验持续改善。由于肺气肿发病率高,肺减容手术未来可能会得到广泛应用。然而,需要更好地界定纳入标准并更好地评估手术操作。