慢性阻塞性肺疾病外科治疗的进展

Update in surgical therapy for chronic obstructive pulmonary disease.

作者信息

Lederer David J, Arcasoy Selim M

机构信息

Division of Pulmonary, Allergy, and Critical Care Medicine, Columbia University College of Physicians and Surgeons, Lung Transplantation Program, PH-14 East, Room 104, New York, NY 10032, USA.

出版信息

Clin Chest Med. 2007 Sep;28(3):639-53, vii. doi: 10.1016/j.ccm.2007.05.004.

DOI:10.1016/j.ccm.2007.05.004

PMID:17720050

Abstract

Bullectomy for giant bullae, lung volume reduction surgery, and lung transplantation are three surgical therapies that may benefit highly selected patients with advanced chronic obstructive pulmonary disease. In this article, each procedure is reviewed, with an emphasis on guidelines for patient selection and clinical outcomes for the practicing pulmonologist. Recent results from the National Emphysema Treatment Trial, updated International Society for Heart and Lung Transplantation Registry data, and revised guidelines for patient selection for lung transplantation are discussed.

摘要

针对巨大肺大疱的肺大疱切除术、肺减容手术和肺移植是三种可能使经过严格筛选的晚期慢性阻塞性肺疾病患者受益的外科治疗方法。在本文中，将对每种手术进行综述，重点关注执业肺科医生的患者选择指南和临床结果。还将讨论国家肺气肿治疗试验的最新结果、更新后的国际心肺移植学会登记数据以及修订后的肺移植患者选择指南。