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目的 分析探讨肺功能对肺癌病人手术方式的影响。方法 全部病人均用美国SenSorMedics公司 62 0 0肺功能仪测定术前肺功能。结果 术前MVV %<60 %术后肺部感染发生率为 15 3 8%,术前MVV %在 60 %～ 80 %术后肺部感染发生率为 4 17%,术前MVV %>80 %的术后肺部感染发生率为 4 2 6%;FEV1 %<80 %并发症发生率为 5 6%,FEV1 %>80 %的并发症发生率为 5 2 %,两者无显著差异 ;FVC %<80 %并发症发生率为 17 65 %,FVC %>80 %并发症发生率为 3 3 0 %,两者有显著差异。全组死亡 1例。结论 MVV与术后并发症发生率无明显相关 ,FEV1 %作为分析手术危险性的指标相当敏感 ,FVC与术后并发症的发生率有显著关系。在确定肺癌病人的手术适应证及切除范围时 ,不能单凭术前通气功能来决定 ,应综合考虑病人的术前各项肺功能指标 ,并结合反映换气功能的血气 ,同时全面了解病人既往体能状态等等
Objective To analyze the influence of lung function on the operation of lung cancer patients. Methods All patients underwent preoperative pulmonary function testing with the Sensoorics 62 0 0 pulmonary function analyzer. Results Preoperative MVV% <60% The incidence of postoperative pulmonary infection was 15.38%. The preoperative MVV% was 60% -80%. The incidence of postoperative pulmonary infection was 41.7%, preoperative MVV%> 80% Of postoperative pulmonary infection rate was 42.6%; FEV1% <80% complication rate was 56%, FEV1%> 80% complication rate was 52%, there was no significant difference between the two; FVC % <80% complication rate was 17 65%, FVC%> 80% complication rate was 33.0%, there was a significant difference between the two. The whole group died in 1 case. Conclusions There is no significant correlation between MVV and incidence of postoperative complications. FEV1% is very sensitive to analyze the risk of surgery, and FVC has a significant relationship with the incidence of postoperative complications. In determining the indications for lung cancer patients and surgical resection range, can not be based on preoperative ventilation function to decide, should be considered in patients with preoperative pulmonary function indicators, combined with the blood gas reflect the ventilation function, at the same time a comprehensive understanding of the patient’s past Fitness status and so on