涤纶垫片在肺减容术中的临床应用

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1、⑧分类号——ICS学校代码!Q!圣鱼学号垫塑堕盟委茁～菱一号复内蒙害民燕大学硕士学位论文涤纶垫片在肺减容术中的临床应用ClinicalApplicationofPiecesofPolyesterFibreInLungVolumeReductionSurgery申请人：侯殿臣学科专业：中西医结合临床研究方向：蒙西医结合外科学学位类别：专业学位(高校教师)指导教师：白彦满都拉教授论文提交日期：二。一二年四月ClinicalApplicationOfPiecesOfPolyesterFibreInLungVolumeRed

2、uctionSurgeryAbstract[objective]Explorepolyestergasketsinlungcapacityreductioninsurgicaltreatmenttopreventpulmonaryemphysemathecutedgeaflatclinicalefficacyandsurgicaltreatmentmethod．[methods]May16，2005-December28，2008，32casesofpatientswereemphysema，Amongthem，10

3、casesofsevereemphysema，Peaceinobviousshortnessofbreath，Typicalchestbarrelshaped，LungliverOlympicsintheeighthcostalmargin，3cminthelungsactivitybelow，Moderateemphysema22cases，Peaceinmildshortnessofbreath，LabororaliUleactivitytheapparentshortnessofbreath，Ribcleara

4、ncebroadens，LungliverOlympicsintheseventhcostalmargin，Thebottomofthelungsactivityin3～4cmbetween．Areallbilateralemphysema，17casestOtheleafasthepriority，15casestotheupperleftputtheleaves，Withallthelungbullousvaryinsize，Thebiggestfor5cmindiameter．Allthegroupsofpat

5、ientsundergeneralanesthesiaandreducethelungcapacityof．Areunilateral．Tocontrolthelungsthecutedgegotaflat，Thepolyestergasketswhensewingstrengtheninglunggascuttingedge．Topreventthecutedgesutureplacethelungtissueoflungafteraeasytotearandhaveaseriousleakage，Atthesam

6、etimeaneedleplacedaubbiomedicalglue．[results]Nooperativedeath，Postoperativerecoversmoothly，Threecasesleakafter2days，Wererecovereddischarge，Follow-up4～43months，averagel1months．BothFEVlandMVVincreased75．4％and26．5％respectively,anRVandTLCdeclinedobviously(2．8％and16

7、．8％)，Pa02increased1．21kPa，patientsgetbettershortofbreath，activityandtheabilitytoimprovequalityoflife．[conclusions]Inthelungcapacityreductionsurgicaltreatmentemphysema，ThepolyestergasketandbiomedicalgluetOpreventlungthecutedgeeffectmustleak．Keywords：Emphysema；Lu

8、ngVolumeRreductionSurgery；PolyesterGaskets；BiomedicalGlueDirectedby：Prof．BAIyanmanduIaAppIicantforMasterdegree：HOUDianchen(ClinicalMedicine)(InnerMongoliaUniversityForNation