Cordova F C, Criner G J
Temple University School of Medicine, Philadelphia, Pennsylvania 19140, USA.
Curr Opin Pulm Med. 2001 Mar;7(2):93-104. doi: 10.1097/00063198-200103000-00007.
Lung volume reduction surgery and lung transplantation have been shown to improve lung function, exercise capacity, and quality of life in patients with advanced emphysema. Because the indications for both surgical procedures overlap, lung volume reduction surgery may be used as an alternative treatment or as a "bridge" to lung transplantation. In this article, we discuss patient selection, clinical outcome parameters, and the morbidity and mortality associated with each surgical procedure. We focus on the different preoperative predictors of good and poor outcomes after lung volume reduction surgery, the role of pulmonary rehabilitation, and the preferred surgical techniques for lung volume reduction surgery. An overview of the postoperative care of emphysema patients who undergo single-lung transplantation is also discussed.
肺减容手术和肺移植已被证明可改善晚期肺气肿患者的肺功能、运动能力和生活质量。由于这两种手术的适应症重叠，肺减容手术可作为一种替代治疗方法或作为肺移植的“桥梁”。在本文中，我们讨论了患者选择、临床结局参数以及每种手术相关的发病率和死亡率。我们重点关注肺减容手术后良好和不良结局的不同术前预测因素、肺康复的作用以及肺减容手术的首选手术技术。还讨论了接受单肺移植的肺气肿患者的术后护理概况。
