Ayabe H, Oka T, Tsuji H, Hara S, Kimino K, Tagawa Y, Kawahara K, Tomita M
First Department of Surgery, Nagasaki University School of Medicine, Japan.
Nihon Kyobu Shikkan Gakkai Zasshi. 1991 Oct;29(10):1247-53.
Twenty-five patients who underwent upper sleeve lobectomy for lung cancer were studied by spirometric examination to evaluate postoperative pulmonary function, including Vital Capacity (VC), %Vital Capacity (%VC), Forced Expiratory Volume in one second (FEV1.0), and Forced Expiratory Volume in one second as a percentage of the forced vital capacity (FEV1.0%). The results of the patients with bronchoplasty were compared with those of patients with lobectomy alone and of patients with pneumonectomy. Lung function was periodically examined postoperatively following bronchoplasty. VC, %VC and FEV1.0 were decreased postoperatively in the patients with upper sleeve lobectomy, while FEV1.0% was increased. There were no differences in postoperative %VC or FEV1.0% between the patients with bronchoplasty and those with upper lobectomy alone. However, the postoperative %VC of the patients with pneumonectomy was significantly decreased compared with patients who underwent postoperative %VC of the patients with pneumonectomy was significantly decreased compared with patients who underwent bronchoplasty or lobectomy alone. %VC in the patients with bronchoplasty was decreased at 3 months after operation, but it to gradually returned to the preoperative value by 13 to 24 months after operation.
对25例行肺癌上叶袖式肺叶切除术的患者进行了肺量计检查,以评估术后肺功能,包括肺活量(VC)、肺活量百分比(%VC)、一秒用力呼气量(FEV1.0)以及一秒用力呼气量占用力肺活量的百分比(FEV1.0%)。将行支气管成形术患者的结果与单纯肺叶切除术患者以及全肺切除术患者的结果进行比较。支气管成形术后定期检查肺功能。上叶袖式肺叶切除术患者术后VC、%VC和FEV1.0降低,而FEV1.0%升高。行支气管成形术患者与单纯行上叶切除术患者术后%VC或FEV1.0%无差异。然而,与单纯行支气管成形术或肺叶切除术的患者相比,全肺切除术患者术后%VC显著降低。支气管成形术患者术后3个月时%VC降低,但术后13至24个月逐渐恢复至术前值。