Department of Pulmonary, Critical Care and Sleep Medicine, Medipulse Hospital, Jodhpur, India.
Department of Pulmonary, Critical Care & Sleep Medicine, VMMC & Safdarjung Hospital, New Delhi, India.
Adv Respir Med. 2021;89(1):43-48. doi: 10.5603/ARM.a2020.0172. Epub 2021 Jan 20.
Emphysema sequentially leads to the loss of gas exchanging surface and an abnormal shape of the diaphragm generating dyspnea refractory to standard medical therapy. Lung volume reduction surgery (LVRS) is a surgical treatment option for patients with severe emphysema whose symptoms are uncontrolled on standard therapy. Bronchoscopic LVR (bLVR) is a process by which lung volume reduction is achieved in a minimally invasive manner using bronchoscopy-guided insertion of valves, coils, sealants, or by thermal vapour ablation like techniques. These therapies have developed over the last few years and have variable results in patients. We have summarized the current evidence available on each of these methods in this review.
肺气肿会导致气体交换表面的丧失和膈异常形状，从而导致对标准医学治疗产生呼吸困难。肺减容手术（LVRS）是一种针对严重肺气肿患者的手术治疗选择，这些患者的症状在标准治疗下无法得到控制。支气管镜下肺减容术（bLVR）是一种通过支气管镜引导插入瓣膜、线圈、密封剂或热蒸汽消融等技术以微创方式实现肺减容的过程。这些治疗方法在过去几年中得到了发展，并在患者中产生了不同的结果。我们在这篇综述中总结了目前关于这些方法的每一种方法的现有证据。
