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外科研究与新技术 ›› 2015, Vol. 4 ›› Issue (3): 208-211.

• 论著 • 上一篇    下一篇

肺癌术后肺康复研究进展

谈宇龙1,陈晓峰2   

  1. 1. 上海市华山医院胸外科
    2. 上海华山医院胸外科
  • 收稿日期:2015-09-10 修回日期:2015-07-25 出版日期:2015-09-28 发布日期:2015-10-08
  • 通讯作者: 谈宇龙 E-mail:312535424@qq.com
  • 基金资助:
    申康

Progress in the study of pulmonary rehabilitation after resection of lung cancer

  • Received:2015-09-10 Revised:2015-07-25 Online:2015-09-28 Published:2015-10-08

摘要: 背景:随着人类生活方式的改变、城市化、工业化建设的发展,肺癌成为了癌症中第一高发病种。针对肺癌的治疗,目前国内外仍是以手术切除作为一线的治疗方式。肺癌手术方式的进展,也从最初的开胸术往微创手术胸腔镜发展;切除范围从肺全叶切除变化到肺叶切除、肺段切除、肺楔形切除等多种方式。近年来以肺康复锻炼治疗为代表,越来越多的综合治疗手段可以用来促进肺癌手术患者的术后康复。 目的:了解影响肺癌患者胸部术后肺功能康复的因素以及干预措施。 内容:综述影响肺癌患者术后肺功能康复的因素以及保障肺功能术后康复的医学干预。 趋向:围术期有多种因素影响术后肺功能康复水平,术前评估肺功能,术中采用低创性的术式,术后积极的康复治疗,都能给患者在术后的肺功能康复起到有效支持。

关键词: 肺癌, 胸部手术, 肺康复, 综述文献

Abstract: Background: with the development of human life style, urbanization, industrialization, lung cancer has become the first high incidence of cancer. For the treatment of lung cancer, the current domestic and international is still to surgical resection as a first-line treatment. Progression of lung cancer surgery, from the initial open chest surgery to minimally invasive video-assisted thoracoscopic surgery (VATS) development; resection range from whole lung lobe resection changes to lobectomy, pulmonary segmental resection, wedge resection of a variety of ways. In recent years, with the treatment of pulmonary rehabilitation exercise, more and more comprehensive treatment can be used to promote the rehabilitation of patients with lung cancer surgery. Objective: To investigate the factors affecting the recovery of pulmonary function in patients with lung cancer and the intervention measures. Content: This paper reviews the factors that affect lung function recovery after surgery for lung cancer patients and the medical intervention to protect the pulmonary function after operation. Trend: there are many factors that affect the level of postoperative pulmonary function recovery, preoperative evaluation of pulmonary function, intraoperative use of low invasive surgery, postoperative active rehabilitation treatment, can give patients in the postoperative recovery of pulmonary function to play an effective support.

Key words: Lung cancer, thoracic surgery, pulmonary rehabilitation, review