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目的通过对贲门癌患者手术前后肺功能的比较分析,探讨经腹根治术对贲门癌患者肺功能的影响。方法采用德国耶格公司Masterscreen系列高级组合式肺功能仪进行肺功能测定,对术前肺功能正常的164例经腹根治手术贲门癌患者进行了术前、后肺功能的对比观察,并进行统计分析。结果肺功能指标用力肺活量(FVC)由(95.08±9.04)变为(76.84±14.13),第1秒用力肺活量(FEV1)(91.42±11.45)变为(74.04±13.12),最大通气量(MVV)(91.16±12.47)变为(71.78±13.01),及一氧化碳弥散量(DLCO)(81.88±14.75)变为(64.86±11.51),以上指标均与术前比较差异有显著性(P<0.01)。结论贲门癌经腹根治术后FVC、FEV1、MVV、DLCO均较术前有显著性降低,术后密切观察并予及时有效的治疗,是患者顺利恢复的关键。
Objective To compare the changes of lung function in patients with cardiac cancer before and after surgery to investigate the effects of radical ablation on lung function in patients with cardiac cancer. Methods Pulmonary function tests were performed with the Masterscreen series advanced pulmonary function instrument of Germany Yage company. The preoperative and postoperative pulmonary function of 164 patients with performectomy cardia cancer who had normal pulmonary function before operation were compared and statistically analyzed analysis. Results The FVC was changed from (95.08 ± 9.04) to (76.84 ± 14.13), FEV1 (91.42 ± 11.45) to (74.04 ± 13.12) and MVV (91.16 ± 12.47) to (71.78 ± 13.01), and DLCO (81.88 ± 14.75) to (64.86 ± 11.51). The above indexes were significantly different from those before operation (P <0.01). Conclusions FVC, FEV1, MVV and DLCO in patients with gastric cardia cancer after radical resection were significantly lower than those before operation, and the close observation and prompt and effective treatment after operation were the key to the successful recovery.