Venuta Federico, Rendina Erino A, Coloni Giorgio F
a Università di Roma La Sapienza, Cattedra di Chirurgia Toracica, Policlinico Umberto I, V.le del Policlinico 166, 00100 Rome, Italy.
Thorac Surg Clin. 2009 May;19(2):255-60, x. doi: 10.1016/j.thorsurg.2009.04.002.
Numerous endoscopic procedures have recently been studied and progressively introduced in clinical practice to improve mechanics and function in patients who have emphysema. Bronchoscopic lung volume reduction with one-way endobronchial valves facilitates deflation of the most overinflated emphysematous parts of the lung. These valves have been designed to control and redirect airflow by preventing air from entering the target parenchymal area but allowing air and mucus to exit. The preliminary results have shown that this procedure is safe and effective at medium term in a selected group of patients.
最近,人们对多种内镜手术进行了研究,并逐渐将其引入临床实践,以改善肺气肿患者的力学和功能。使用单向支气管内瓣膜进行支气管镜肺减容术有助于肺内最过度膨胀的气肿部分萎陷。这些瓣膜的设计目的是通过阻止空气进入目标实质区域,但允许空气和黏液排出,从而控制和重新引导气流。初步结果表明,该手术在特定患者群体的中期是安全有效的。