Hou Gang, Wang Wei, Wang Qiu-Yue, Kang Jian
Department of Respiratory Medicine, The First Hospital of China Medical University, Shenyang, China.
Clin Respir J. 2016 Sep;10(5):657-60. doi: 10.1111/crj.12257. Epub 2015 Jan 27.
The conventional treatment for giant bullae in patients with chronic obstructive pulmonary disease is surgical bullectomy, but it is not possible in some patients with poor lung function. Bronchoscopic bullectomy involving implantation of an endobronchial valve (EBV) has emerged as a potential alternative. Here we describe how EBV implantation in a bullous emphysema with a giant bulla in the right middle lobe led to elimination of the bulla and improvements in pulmonary function, 6-min walking distance during the 1-year follow-up. Our case suggests that bronchoscopic bullectomy with an EBV can be a safe and effective alternative to surgical bullectomy.
慢性阻塞性肺疾病患者巨大肺大疱的传统治疗方法是手术切除肺大疱，但对于一些肺功能较差的患者来说并不可行。涉及植入支气管内瓣膜（EBV）的支气管镜下肺大疱切除术已成为一种潜在的替代方法。在此，我们描述了在一名右中叶有巨大肺大疱的大疱性肺气肿患者中植入EBV如何在1年随访期间导致肺大疱消失和肺功能改善，6分钟步行距离增加。我们的病例表明，采用EBV的支气管镜下肺大疱切除术可以成为手术切除肺大疱的一种安全有效的替代方法。
