grekovВестник хирургии имени И.И. ГрековаGrekov's Bulletin of Surgery0042-46252686-7370Federal State Budgetary Educational Institution of Higher Education «Academician I.P. Pavlov First St. Petersburg State Medical University» of the Ministry of Healthcare of the Russion Federation, FSBEI HE I.P.Pavlov SPbSMU MOH Russia10.24884/0042-4625-2016-175-3-13-16grekov-215Research ArticleВОПРОСЫ ОБЩЕЙ НЕОТЛОЖНОЙ ХИРУРГИИPROBLEMS OF GENERAL AND SPECIAL SURGERYКРИТЕРИИ ХИРУРГИЧЕСКОГО РИСКА У БОЛЬНЫХ С ДИФФУЗНОЙ ЭМФИЗЕМОЙ ЛЁГКИХ С КРУПНЫМИ ИЛИ ГИГАНТСКИМИ БУЛЛАМИCRITERIA OF SURGICAL RISK IN PATIENTS WITH DIFFUSE LUNG EMPHYSEMA WITH LARGE AND GIANT BULLASГорбунковС. Д.GorbunkovS. D.sdgorbunkov@mail.ruВарламовВ. В.VarlamovV. V.trivar2013@yandex.ruЧерныйС. М.ChernyiS. M.smcherny@mail.ruКирюхинаЛ. Д.KiryukhinaL. D.kiryuhina_larisa@mail.ruЛукинаО. В.LukinaO. V.griluk@yandex.ruАгишевА. С.AgishevA. S.asagishev@yandex.ruРоманихинА. И.RomanikhinA. I.romanihin.arkadiy@mail.ruАкоповА. Л.AkopovA. L.akopovand@mail.ruПервый Санкт-Петербургский государственный медицинский университет им. акад. И. П. ПавловаРоссияI. P.Pavlov First Saint-Petersburg State Medical UniversityRussian Federation20162806201617531316Copyright © Горбунков С.Д., Варламов В.В., Черный С.М., Кирюхина Л.Д., Лукина О.В., Агишев А.С., Романихин А.И., Акопов А.Л., 20162016Горбунков С.Д., Варламов В.В., Черный С.М., Кирюхина Л.Д., Лукина О.В., Агишев А.С., Романихин А.И., Акопов А.Л.Gorbunkov S.D., Varlamov V.V., Chernyi S.M., Kiryukhina L.D., Lukina O.V., Agishev A.S., Romanikhin A.I., Akopov A.L.Данная работа распространяется под лицензией Creative Commons Attribution 4.0.This work is licensed under a Creative Commons Attribution 4.0 License.https://www.vestnik-grekova.ru/jour/article/view/215

The article presents an assessment of postoperative period in patients with diffuse lung emphysema with large and giant bullas on the basis of surgical risk criteria, which were developed for the patients with diffuse emphysema without bullas. Retrospective study determined the group of patients who had high rate of surgical complications after bullectomy. The patients (46) were divided into 2 groups and it depended on the initial condition of the patients. There was stated, that the main criterion of surgical risk was a decrease of the level of OFL lower than 20% of the proper level in patients with large and giant bullas.

эмфизема легкихредукция объема легкихбуллаlung emphysemalung volume reductionbullaReferencesПутов Н. В., Левашов Ю. Н., Варламов В. В., Кочоров С. Д. Хирургическое лечение эмфиземы легких// Грудная и серд.сосуд. хир. 1985. № 1. С. 42-27.Путов Н. В., Левашов Ю. Н., Варламов В. В., Кочоров С. Д. Хирургическое лечение эмфиземы легких// Грудная и серд.сосуд. хир. 1985. № 1. С. 42-27.Яицкий Н. А., Варламов В. В., Горбунков С. Д. и др. Результаты хирургического лечения генерализованной эмфиземы легких // Вестн. хир. 2014. № 2. С. 9-13.Яицкий Н. А., Варламов В. В., Горбунков С. Д. и др. Результаты хирургического лечения генерализованной эмфиземы легких // Вестн. хир. 2014. № 2. С. 9-13.Celli B. R., Cote C. G., Marin J. M. et al. The body-mass index, airflow obstruction, dyspnea, and exercise capacity index in chronic obstructive pulmonary disease // N. Engl. J. Med. 2004. № 350. P. 1005-1012.Celli B. R., Cote C. G., Marin J. M. et al. The body-mass index, airflow obstruction, dyspnea, and exercise capacity index in chronic obstructive pulmonary disease // N. Engl. J. Med. 2004. № 350. P. 1005-1012.McKenna R. J. Jr, Brenner M., Gelb A. F. et al. A randomized, prospective trial of stapled lung reduction versus laser bullectomy for diffuse emphysema // J. Thorac. Cardiovasc. Surg. 1996. № 111. P. 310-322.McKenna R. J. Jr, Brenner M., Gelb A. F. et al. A randomized, prospective trial of stapled lung reduction versus laser bullectomy for diffuse emphysema // J. Thorac. Cardiovasc. Surg. 1996. № 111. P. 310-322.National Emphysema Treatment Trial Research Group. Patients at high risk of death after lung-volume - reduction surgery // N. Engl. J. Med. 2001. № 345. P. 1075-1083.National Emphysema Treatment Trial Research Group. Patients at high risk of death after lung-volume - reduction surgery // N. Engl. J. Med. 2001. № 345. P. 1075-1083.National Emphysema Treatment Trial Research Group. A randomized trial comparing lung-volume reduction surgery with medical therapy for severe emphysema // N. Engl. J. Med. 2003. № 348. P. 2059-2073.National Emphysema Treatment Trial Research Group. A randomized trial comparing lung-volume reduction surgery with medical therapy for severe emphysema // N. Engl. J. Med. 2003. № 348. P. 2059-2073.Palla A., Desideri M., Rossi G. et al. Elective surgery for giant bullous emphysema: a 5-year clinical and functional follow-up // Chest. 2005. № 4. P. 2043-2050.Palla A., Desideri M., Rossi G. et al. Elective surgery for giant bullous emphysema: a 5-year clinical and functional follow-up // Chest. 2005. № 4. P. 2043-2050.

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