Mid-term effects of lung volume reduction surgery on pulmonary function in patients with chronic obstructive pulmonary disease / 中华医学杂志(英文版)
Chinese Medical Journal
; (24): 658-662, 2007.
Artículo
en Inglés
| WPRIM (Pacífico Occidental)
| ID: wpr-344834
Biblioteca responsable:
WPRO
ABSTRACT
<p><b>BACKGROUND</b>Now lung volume reduction surgery (LVRS) has become one of the most effective methods for the management of some cases of severe chronic obstructive pulmonary disease (COPD). We evaluated the mid-term effects of LVRS on pulmonary function in patients with severe COPD.</p><p><b>METHODS</b>Ten male patients with severe COPD aged 38 - 70 years underwent LVRS and their pulmonary function was assessed before, 3 months and 3 years after surgery. The spirometric and gas exchange parameters included residual volume, total lung capacity, inspiratory capacity, forced vital capacity, forced expiratory volume in one second, diffusion capacity for CO, and arterial blood gas. A 6-minute walk distance (6MWD) test was performed.</p><p><b>RESULTS</b>As to preoperative assessment, most spirometric parameters and 6MWD were significantly improved after 3 months and slightly 3 years after LVRS. Gas exchange parameters were significantly improved 3 months after surgery, but returned to the preoperative levels after 3 years.</p><p><b>CONCLUSIONS</b>LVRS may significantly improve pulmonary function in patients with severe COPD indicating for LVRS. Mid-term pulmonary function 3 years after surgery can be decreased to the level at 3 months after surgery. Three years after LVRS, lung volume and pulmonary ventilation function can be significantly improved, but the improvement in gas exchange function was not significant.</p>
Texto completo:
Disponible
Contexto en salud:
ODS3 - Salud y Bienestar
Problema de salud:
Meta 3.4: Reducir las muertes prematuras por enfermedades no transmisibles
Base de datos:
WPRIM (Pacífico Occidental)
Asunto principal:
Patología
/
Neumonectomía
/
Pruebas de Función Respiratoria
/
Cirugía General
/
Factores de Tiempo
/
Tolerancia al Ejercicio
/
Enfermedad Pulmonar Obstructiva Crónica
/
Mediciones del Volumen Pulmonar
/
Métodos
Límite:
Adulto
/
Anciano
/
Humanos
/
Masculino
Idioma:
Inglés
Revista:
Chinese Medical Journal
Año:
2007
Tipo del documento:
Artículo