Dissertation > Excellent graduate degree dissertation topics show

The Development of Lung Volume Reduction Surgery

Author: LiuChaoHui
Tutor: JinPuLe
School: Hebei Medical University
Course: Internal Medicine
Keywords: Emphysema Lung volume reduction surgery Bronchoscopy Thoracoscopic Summary
CLC: R655.3
Type: Master's thesis
Year: 2008
Downloads: 86
Quote: 0
Read: Download Dissertation

Abstract


Emphysema (Emphysema), chronic obstructive pulmonary disease (Chronic Obstructive Pulmonary Disease, COPD), an important type of lesion to the terminal bronchioles distal airway permanent expansion as the main feature, accompanied by airway structural damage cause irreversible airway obstruction and reduced lung elastic recoil, alveolar over-expansion, resulting in a decline in lung function. In the treatment of emphysema, mainly to medical treatment, the main method: (1) drug therapy, such as the use of antibiotics, expectorant, bronchodilator drugs such as; ② adhere oxygen therapy; ③ nutrition support therapy; ④ rehabilitation For patients with acute exacerbation; ⑤, should also be timely endotracheal intubation and rational use of mechanical ventilation, can significantly relieve dyspnea and improve blood gas analysis, predisposing factors and treatment of complications win. However, for patients with end-stage emphysema, the above methods are not ideal, lung transplants provide an effective treatment method for lung sources, saved difficulties and immune rejection obvious problem, however, limit the wide range of applications of the lung transplant . There is also an important emerging method of treatment - lung volume reduction surgery (Lung Volume Reduction Surgery, LVRS) can be short term effectively alleviate clinical symptoms of end-stage emphysema improve relevant indicators, lung volume reduction surgery as a treatment for end-stage emphysema, an important means of gradually people's awareness and recognition. By surgical resection of lung volume reduction surgery (LVRS) to remove a small amount of non-function or dysfunction of the lung tissue, so that the function of the remaining lung tissue to be restored to achieve increased postoperative the: ① lung elastic recoil force; ② respiratory function and improved respiratory muscle function; ③ ventilation flow coordination; ④ circulatory system improvements. Surgical: simultaneous bilateral LVRS via median sternotomy incision; ② by unilateral thoracotomy LVRS; ③ thoracoscopic lung volume reduction surgery. With the gradual improvement and promotion of LVRS increasingly wide indications for surgery, surgery-related equipment and materials continue to improve, and confirmed by the U.S. National Emphysema Treatment experimental trials and many scholars clinical practice, LVRS is superior to simple medical treatment, improved significantly, especially above after pulmonary emphysema. Bronchoscopic lung volume reduction surgery (Bronchoscopic Lung Volume Reduction, BLVR) according to the principles of the lung volume reduction, one-way valve or filling placed through the bronchoscope drugs blocking the corresponding lung segment or subsegmental bronchi, the over-expansion of the lung tissue collapse, namely the so-called \The main methods are: a bronchoscopic-way valve implantation; the ② bronchoscopic washout - bronchial occluder; ③ bronchial endoscopic bronchial occlusion; ④ the bronchoscopic artificial bronchus bypass surgery. Studies have shown that, BLVR can reach and conventional LVRS same therapeutic effect, and the complication rates of BLVR than more LVRS low, a shorter hospital stay significantly reduce the patient's suffering and economic burden, therefore, BLVR a more development potential of emerging technologies. Summary, LVRS experienced half a century of exploration, and nearly 10 years of rapid development, a more thorough study of various aspects, the effects are accepted by most scholars. BLVR as an emerging technology, it is minimally invasive, simple, broad indications, fewer complications gradually showing good prospects for development. There lung X-ray intervention under the conditions of lung volume reduction surgery, such as the emergence of new technologies and new ideas and methods for the treatment of advanced emphysema. These emerging technologies to carry out short research institutions test and statistical methods are quite different, the total number of cases is not the long-term effect is not yet sure, therefore requires further multi-disciplinary, multi-center collaboration to carry out long-term research and exploration . It is speculated that the future development of lung volume reduction surgery will provide more options for clinicians to provide better treatment to more patients.

Related Dissertations

  1. The Comparative Analyses of the Syntactic and Semantic Features of "Yizhi" and "Yixiang",H146
  2. Implementation Study of evaluation method of the high school IT courses,G633.67
  3. Xu heart,such as clinical research summary of academic thinking and clinical experience and three-parameter Tongmai mixture treatment Chest,R259
  4. Expression of TNF-α, MMP-9 and VEGF in BALF of Rats with Emphysema and Their Mutual Relationship,R563.3
  5. Study of Comparing the Clinical Effect of Conventional Thoracotomy and Video-assisted Thoracoscopic Surgery in Treatment for Pulmonary Sequestration,R655.3
  6. In Civil Litigation Summary Procedure of the Reform and Improve,D925.1
  7. A Summary of the Theses for Master’s Degree in Mongolian-Chinese Translation at N.W.University for Nationalities(1997-2009),H212
  8. Elementary Foreign Language Study Comprehensive Textbook Exercises,H195
  9. A Study of the Effective Summary in Mathematics Classes of Senior High School,G633.6
  10. Study on Perfection of the Criminal Summary Procedure,D925.2
  11. Forum message text for effective data extraction studies,TP391.1
  12. Based on the timeline of events organization and technology research and application summary,TP391.1
  13. Exploring Microblog Data for Event Detection, Tracking and Summarization,TP393.092
  14. Simple Procedure of Administrative Litigation,D925.3
  15. Research on Optimization of Energy Consumption of WSN,TN929.5
  16. On Criminal Summary Procedure,D925.2
  17. Research of HRCT and Pulmonary Function Test in COPD,R563.9
  18. The Clinical Summarize of TCM Triple Therapy for Accumulation of Dampness Heat and Blood Stasis of Chronic Pelvic Inflammatory Disease,R271.9
  19. NCMS remote medical expenses instant knot at ways of,R197.1
  20. On the Effectiveness of Dictation Strategy in Senior English Teaching,G633.41
  21. On our application of the Criminal Procedures and perfect,D925.2

CLC: > Medicine, health > Surgery > Of surgery > Science in the chest outside the > Bronchus and lung
© 2012 www.DissertationTopic.Net  Mobile