Short-term effect of video-thoracoscope in the treatment of chronic obstructive pulmonary diseases accompanied with pneumothorax
10.3760/cma.j.issn.1008-6315.2009.08.033
- VernacularTitle:电视胸腔镜治疗慢性阻塞性肺疾病合并气胸的近期疗效分析
- Author:
Honggang KE
;
Fei CAO
;
Hanxuan DONG
;
Yu YAN
;
Qingsheng YOU
;
Xiaotan WAN
;
Haibing DIGN
- Publication Type:Journal Article
- Keywords:
Chronic obstructive pulmonary diseases;
Video-thoracoscope;
Quality of life;
BODE index
- From:
Clinical Medicine of China
2009;25(8):861-863
- CountryChina
- Language:Chinese
-
Abstract:
Objective To study the short-term(≤1 year) effect of video-thoracoscope in the treatment of chronic obstructive pulmonary diseases (COPD) accompanied with pneumothorax.Methods 52 COPD cases with pneumothorax from June 2005 to June 2007 were divided into thoracoscope group(n=28) and open heart group(n=24).The patients were followed up at 1,6 and 12 month after surgery,for determination of BODE index,including body mass index,air block,difficulty in respiratory and motor ability.Results No operative death and servere complicatins occurred.Pneumothorax did not relapse.One month after surgery,air block was[(58.62±15.73)% vs (50.12±11.38)%],difficulty in respiratory was[(1.04±0.37)s vs( 1.72±0.45)s] and motor ability was [(387.32±52.07)m vs (318.35±61.52)m] in thoracoscope group and open heart group (P<0.05).At the six month after surgery,body mass index was[(27.19±2.18)kg/m2 vs (20.90±2.35)kg/m2] in thoracoscope group and open heart group(P<0.05);At the 12 month after operation,there was no significant difierence in BODE index between the two groups(P>0.05).Conclusions Video-thoracoscope in treating COPD with pneumothorax can remarkably improve the quality of life early after surgery.
