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经后纵隔转位胃对食管癌切除术后患者呼吸用力呼气量和用力肺活量的影响。

The influence of the transposed stomach through the posterior mediastinum on the respiratory forced expiratory volume and forced vital capacity in patients with resected esophageal cancer.

作者信息

Coral R P, Constant-Neto M, Silva I S, Barros S, Côrrea da Silva L C, Lau A T K, DeBem A E M

机构信息

Irmandade de Santa Casa de Misericórdia de Porto Alegre.

Hospital São Lucas da Pontificia Universidade Católica do Rio Grande do Sul.

出版信息

Dis Esophagus. 2017 Nov 1;11(1):48-50. doi: 10.1093/dote/11.1.48.

Abstract

Although the use of the posterior mediastinum and the stomach as a reconstruction option after esophagectomy has large acceptance all over the world, there are concerns about the potential respiratory impairment it could cause. We prospectively studied 35 patients regarding the forced expiratory volume and vital capacity. The patients were studied preoperatively and between the 45th and 60th postoperative days. The value of both parameters decreased, although they were still within normal clinical ranges. We concluded that this type of reconstruction does not harm the patients regarding the respiratory flow rates.

摘要

尽管在全世界范围内,使用后纵隔和胃作为食管切除术后的重建选择已被广泛接受,但人们仍担心它可能导致潜在的呼吸功能损害。我们前瞻性地研究了35例患者的用力呼气量和肺活量。在术前以及术后第45天至60天之间对患者进行了研究。尽管这两个参数的值仍在正常临床范围内,但均有所下降。我们得出结论,就呼吸流速而言,这种类型的重建对患者没有损害。

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