He Zhengbing, Hou Juhua, Li Yong, Li Yu, Zeng Wei, Liu Wenguang
Department of Pulmonary and Critical Care Medicine, Yiyang Central Hospital, Yiyang, China.
Department of School of Clinical Medicine, Yiyang Medical College, Yiyang, China.
Expert Rev Med Devices. 2024 Mar;21(3):257-263. doi: 10.1080/17434440.2023.2298711. Epub 2024 Jan 4.
To investigate the clinical value of rigid bronchoscopy combined with fiberoptic bronchoscopy in patients with early bronchogenic lung cancer who underwent sleeve lobectomy.
A retrospective study was performed on 76 patients with early bronchogenic lung cancer admitted to our center from March 2016 to March 2017. Patients in the control group received conventional sleeve lobectomy ( = 38), while patients in the observation group underwent sleeve lobectomy by using rigid bronchoscopy combining fiberoptic bronchoscopy ( = 38). We compared perioperative period indicators and the recovery of pulmonary function indexes one month after the operation were compared in two groups. The prognosis of the patients were also analyzed.
Compared with the control group, the intraoperative blood loss, operation duration and airway reconstruction duration in the observation group were significantly reduced. The total incidence of perioperative complications was markedly lower in the observation group than in the control group. The percentage of DLCO% was significantly improved in the observation group. The relapse-free survival (RFS) in the observation group was remarkably longer than in the control group.
Rigid bronchoscopy combined with fiberoptic bronchoscopy is beneficial to improve the clinical outcome and prognosis of patients with early bronchogenic lung cancer more effectively.
探讨硬质支气管镜联合纤维支气管镜在早期支气管源性肺癌患者行袖状肺叶切除术中的临床价值。
对2016年3月至2017年3月我院收治的76例早期支气管源性肺癌患者进行回顾性研究。对照组患者接受传统袖状肺叶切除术(n = 38),观察组患者采用硬质支气管镜联合纤维支气管镜行袖状肺叶切除术(n = 38)。比较两组患者围手术期指标及术后1个月肺功能指标的恢复情况,并分析患者的预后。
与对照组相比,观察组术中出血量、手术时间及气道重建时间明显减少。观察组围手术期并发症总发生率明显低于对照组。观察组DLCO%百分比明显改善。观察组无复发生存期(RFS)明显长于对照组。
硬质支气管镜联合纤维支气管镜有助于更有效地改善早期支气管源性肺癌患者的临床疗效和预后。