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目的探讨食道癌肺功能异常情况的影响因素。方法对2005年共173例食道癌患者进行术前肺功能检测。结果共37例结果异常,阻塞性通气功能减损27例,轻度通气功能减损27例,阻塞性通气功能重度减损或混合性以阻塞性为主通气功能重度减损4例,限制性通气功能减损9例,其中重度2例。结论食道癌患者发现时肺功能预计值降低,大多数结果正常或轻度减损,异常结果中阻塞性较多,尤其是阻塞性通气功能重度减损,虽慢肺活量正常,其肺功能综合情况亦较差,一小部分为限制性通气功能减损,重度者为一次手术或放射治疗后。
Objective To investigate the influencing factors of lung function abnormalities in esophageal cancer. Methods A total of 173 patients with esophageal cancer in 2005 were tested for pulmonary function. Results A total of 37 cases had abnormal results, including 27 cases of obstructive ventilatory impairment, 27 cases of mild ventilatory impairment, 4 cases of severe impairment or mixed obstructive ventilatory function, 4 cases of severe ventilatory impairment, and 9 cases of restricted ventilatory impairment Cases, of which 2 cases of severe. Conclusion The predictive value of pulmonary function in patients with esophageal cancer is decreased, most of the results are normal or mildly degenerated, and the abnormal results are more obstructive, especially the severe impairment of obstructive ventilatory function. Although the slow vital capacity is normal, the comprehensive pulmonary function is also worse Poor, a small part of the detriment of restrictive ventilation, severe surgery or radiation after a.