HRCT及Chartis系统在BLVR治疗重度COPD中的应用

发布时间：2018-01-12 18:28

  本文关键词：HRCT及Chartis系统在BLVR治疗重度COPD中的应用　出处：《重庆医科大学》2014年硕士论文　论文类型：学位论文

  更多相关文章： 肺气肿 支气管内活瓣 高分辨率CT Chartis系统

【摘要】：经支气管镜肺减容术（BLVR）是国际上治疗重度慢性阻塞性肺疾病（COPD）合并肺气肿患者的热点技术，它可经多种方法实现，如支气管内活瓣置入（EBV）、气道旁路支架、热蒸汽消融、生物肺减容、支气管内线圈置入、支气管内封堵等技术。目前国内外临床研究最多的是EBV，研究显示具备高异质性肺气肿，叶间裂完整和靶肺叶无旁路通气三要素的患者EBV疗效最好。新近出现的高分辨率CT（HRCT）及Chartis评估系统可以系统解决上述三要素问题，提高了EBV成功率及疗效，极具开发应用前景。文中综述了HRCT与Chartis评估系统在EBV治疗重度肺气肿中机制及应用进展。
[Abstract]:Transbronchial pulmonary volume reduction (BLVR) is a hot technique in the treatment of severe chronic obstructive pulmonary disease (COPD) with emphysema. It can be realized by many methods. Such as endobronchial valve implantation, airway bypass stent, thermal steam ablation, biological lung volume reduction, endobronchial coil placement, endobronchial occlusion and other techniques. At present, EBV is the most widely studied clinical research at home and abroad. Studies have shown highly heterogeneous emphysema. EBV is the best in patients with complete interlobar fissure and no accessory ventilation in target lobes. And Chartis evaluation system can systematically solve the above three factors. The success rate and curative effect of EBV were improved, and the development and application of HRCT and Chartis evaluation system in the treatment of severe emphysema with EBV were reviewed.
【学位授予单位】：重庆医科大学
【学位级别】：硕士
【学位授予年份】：2014
【分类号】：R563.9

【共引文献】

相关期刊论文 前2条

1 赖朝丽;郭述良;;HRCT及Chartis评估系统在BLVR治疗重度肺气肿中的应用及进展[J];重庆医学;2014年03期

2 李时悦;陈愉;;肺气肿经气道减容术的研究现状与进展[J];实用医学杂志;2014年01期

，

本文编号：1415463