[1]范勇,吴琦,梁春宝,等.单向活瓣支架介入治疗重度肺气肿的临床研究[J].介入放射学杂志,2008,(03):186.
 FAN Yong,WU Qi,LIANG Chunbao,et al.An preliminary clinical study of transbronchoscopic interventional treatment for severe emphysema with local made one-way valvular stents[J].journal interventional radiology,2008,(03):186.
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单向活瓣支架介入治疗重度肺气肿的临床研究()

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《介入放射学杂志》[ISSN:1008-794X/CN:31-1796/R]

卷:
期数:
2008年03期
页码:
186
栏目:
非血管介入
出版日期:
2008-03-15

文章信息/Info

Title:
An preliminary clinical study of transbronchoscopic interventional treatment for severe emphysema with local made one-way valvular stents
作者:
范勇吴琦梁春宝
300350天津市海河医院放射科(范勇、吴琦、梁春宝、吴先杰、田静、杜钟珍、李萍、武俊平、史丽霞、赵崇法、李玉萍、于蕾);天津医科大学总医院(贺能树)
Author(s):
FAN YongWU Qi LIANG Chun-baoWU Xian-jieTIAN JingDU Zhong-zhenLI PingWU Jun-pingSHI Li-xiaZHAO Chong-faLI Yu-pingYU LeiHE Neng-shu
Tianjin Haihe Hospital,Tianjin300350,China
关键词:
肺气肿单向活瓣支架介入放射学支气管镜
分类号:
R563.3
文献标志码:
A
摘要:
目的应用国产单向活瓣支架进行可弯曲支气管镜介入肺减容术(BILVR)临床研究,初步探索其安全性和疗效。方法2006年5月至2007年8月对7例重度肺气肿患者经胸部CT扫描确定靶位,在全身麻醉下行可弯曲支气管镜及X线引导支架置入。观察患者的临床症状、肺功能、血气分析、超声、6min步行距离(6MWD)及影像学表现。结果7例患者在单侧上叶支气管段或亚段放置4~6枚支架,手术时间为(136±72.3)min。术后2h可自行活动,呼吸困难明显减轻。术后影像学检查显示支架远端支气管聚拢,但未见肺不张。术后2周6MWD、Brog呼吸困难评分和肺动脉压差异有统计学意义(P﹤0.05)。肺功能、血气分析及靶区肺体积无明显变化。1例患者在术后2d出现非靶区下叶肺炎、1例患者出现慢性阻塞性肺疾病急性发作,均治疗后缓解。其余患者均未出现严重并发症。结论BILVR可能会改善极重度肺气肿患者呼吸困难的症状和生活质量,较为安全。

参考文献/References:

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备注/Memo

备注/Memo:
收稿日期:2006-12-28
更新日期/Last Update: 2008-03-15