CT 引导下OB胶治疗肺大疱的临床疗效观察

Observation on the clinical efficacy of glue in the treatment of pulmonary bullae under CT guide

摘要:

目的：探讨CT引导下OB胶治疗肺大疱的疗效及安全性，开辟肺大疱内科治疗的新途径。方法：选择肺大疱患者60例，完善术前检查，在CT引导下向肺大疱内注入OB吻合胶，术后定期复查胸部CT并行6 min步行试验（6-minute walking test，6MWT）。观察术中及术后并发症、胸部CT变化及肺功能改善情况评价疗效。结果：术中及术后的并发症包括胸痛（96.7%）、气胸（25%）、咯血（21.7%）、发热（21.7%）。术后胸部CT示肺大疱治愈率96.7%，显效率3.4%。30例患者行6MWT，肺功能均较前改善。结论：CT引导下经皮肺穿刺OB胶粘堵肺大疱为安全、有效的内科治疗措施。

Abstract:

Objective：To evaluate the efficacy and safety of OB glue in the treatment of pulmonary bullae under CT guide and to seek for the new treating methods. Methods：Sixty patients with pulmonary bullae were enrolled and received preoperative examination. glue was injected into the pulmonary bullae under CT guide. and six minutes walk test were regularly applied after the surgery. The intraoperative and postoperative complications，the changes of thoracic CT and the improvement of pulmonary function were observed. Results：The intraoperative and postoperative complications included chest pain（96.7%），pneumothorax（25%），hemoptysis（21.7%） and fever（21.7%）. The results of thoracic CT showed that the curative rate was 96.7% and the obvious effect rate was 3.4%. Six-minute walk test was performed in 30 cases and the pulmonary function was improved. Conclusion：Percutaneous pulmonary puncture and OB glue in the treatment of pulmonary bullae under CT guide is a secure and efficient therapy.