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Register a new userLung Volume Reduction for Lung Emphysema
تصغير حجم الرئة لعلاج الانتفاخ الرئوي
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Damascus University ورقة بحثية
Publication date
2002
fields
Medicine
and research's language is
العربية
Authors
نزار عباس( باحث )
Created by
Shamra Editor
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هدف الدراسة : تقييم عملي لعملية تصغير حجم الرئة في علاج الانتفاخ الرئوي مـن خلال تحليل نتائج خبرتنا المحلية . مادة و طريقة البحث : تمت الدراسة على ٢٠ مريضاً أجريت لهم عمليـات تصـغير حجم الرئة خلال الفترة المعتمدة بين ١٩٩٧-٢٠٠٠ بطرق مختلفة عبر فتح الصدر أو نشر القص أو بواسطة الجراحة التنظيرية . الخلاصة : يعد العلاج الجراحي لانتفاخ الرئة بتصغير الحجم بديلاً جيداً لزرع الرئـة في كثير من الحالات و بخاصة إذا كان العمر أقل من السبعين دون وجود ارتفاع توتر رئوي شديد، أو الآفة وحيدة الجانب أو من الشكل الفقاعي أو مترافقة مع آفة علاجها أصلاً جراحي كالكيسات المائية و الأورام.
This study presents our experince in lung volume reductionby surgery. Patients and Methodls : ٢٠ patients underwent lung volume reduction during the period from ١٩٩٧-٢٠٠٠, There were ١٥ men and ٥ women ranging in age from ٢٢-٧٢ years. Chronic obstructive diffuse emphysema was found in ٨ patients, bollous emphysema in ١٢, of them ٤ with unilateral involvement, high oxygen dependency ٢ patients, steroid use ١ , ٨ patients were operated on using thoracoscopic surgery, ١٠through unilateral thoracotomy and ٢ through median sternotomy, Operation included excision of ٢٠٪-٣٠٪of the volume of each lung with the use of linear stapling. Results: There has been ٥٪ perioperatve mortality, and the most common complication was air leaking (٧ patients). Conclusion : Lung volume reduction may be of significant value for selected patients with lung emphysema especially younger patients with diffuse emphysema, bollous emphysema, unilateral disease and combined emphysema with surgical lung disease as hydatid cyst or tumors.
References used
Akiowakabayahi , thoracoscopy laser pneumoplasty in the treatment of diffuse bullous emphysema , Ann. Of thoracic surgery,1995
Bavaria . J . and others , effect of volume reduction on lung transplant timing and election for chronic obstructive pulmonary disease , Thoracic and cardio-vascular surg1998
Copper .J. and others , Bilateral pneumonectomy (volume reduction) for chronic obstructive pulmonary disease . Thoracic and cardio-vascular surg1995
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