PULMONER REZEKSİYONLARDA SOLUNUM FONKSİYON DEĞİŞİKLİKLERİ VE HESAPLANAN PREOPERATİF DEĞERLERLE KORELASYONU

Öz

Haziran 1992 ile Kasım 1994 yılları arasında kliniğimizde akciğer rezeksiyonu uygulanan ve takipte kalan 74 olgu bu çalışmaya dahil edildi. Olguların 53'ü (%70) bronş ca, 15'i (%19) bronşektazi, 2'si (%3) aspergilloma, 2'si (%3) karsinoid tümör, 1'i hemanjioperistoma, 1'i de hodgin lenfoma idi. Olguların 34'üne lobektomi, yedisine bilobektomi, yedisine lobektomi + segmentektomi ve 26'sına pnömonektomi uygulandı. Olgular rezeksiyon tiplerine göre pnömonektomi, lobektomi, bilobektomi, alt lobektomi+segmentektomi yapılanlar olarak 4 gruba ayrıldı. Preoperatif solunum fonksiyon testleri ile FEVC, FEV1, VC, MVV değerleri ölçülerek, ölçümler postoperatif 10.gün, 1, 3 ve 6. aylarda tekrarlandı. Her gruptaki ölçümler istatistiksel olarak karşılaştırıldı. Lobektomi yapılan olgularda postoperatif 10.gün, 1, 3 ve 6.aylardaki değerler arasında her parametre için anlamlı farklılık bulunurken ( p < 0.05), pnömonektomilerde bu farklılık 3 ile 6.ay arasında izlendi.

Anahtar Kelimeler

• Pulmoner fonksiyon testleri, pulmoner rezeksiyon

RESPIRATORY FUNCTION CHANGES IN PULMONARY RESECTIONS AND THE CORELATION WITH THE PREOPERATIVELY CALCULATED VALUES

Abstract

Seventy-four cases, who were resected surgically and followed up postoperatively in our clinic through June 1992 and November 1994 were studied in our study. These cases are classified as follows: 53 lung carsinomas (%70), 15 bronchiectasis (%19), 2 aspergillomas (%3), 2 carcinoid tumors (%3), 1 hemangiopericytoma and 1 Hodgkin's lymphoma. 34 lobectomies, seven bilobectomies, seven lobectomies + segmentectomies and 26 pneumonectomies were performed. The cases were classified into 4 groups according to the type of the resection as follows: pneumonectomy, lobectomy, bilobectomy, left lower lobectomy + segmentectomy. Preoperative FEVC, FEV1, VC, MVV were measured and these measurements were repeated on the tenth day, first, third and sixth months postoperatively. These values were compared by using statistical methods. In the group of lobectomy prominent differences were put forward for each parameter in the postoperative tenth day, first and third months ( p < 0.05). On the other hand in the group of pneumonectomy these differences were notified between the third and the sixth months postoperatively.

Keywords

• Pulmonary function testing, pulmonary resection

Kaynakça

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