摘要
目的探讨胸腔镜在各期脓胸治疗中的应用价值。方法回顾性分析我科对58例确诊脓胸患者的临床资料,随即分成两组,其中电视胸腔镜组29例,开胸组29例。总结两组手术经验、手术效果及并发症情况。结果 58例患者均顺利完成手术,无围手术期死亡。胸腔镜组的手术时间、术中出血量、术后引流量、术后留置引流管时间、术后住院时间与开胸组比较差异有统计学意义(P<0.05)。结论应用电视胸腔镜技术治疗脓胸,能够充分引流冲洗,患肺复张较好。具有创伤小、恢复快,疗效确切。
Objective To investigate the value of video-assisted thoracoscopy in treatment of empyema. Methods Retrospective analysis the clinical data of 58 cases of patients with empyema,they were divided into two groups,29 cases in VATS group and 29 cases in thoracotomy group. Summarize operation experience, operation effect and complicationsof the two group. Results 58 patients were completed the operationsuccessfully,no perioperative period death occurred. Differences of operation time,bleeding volume, postoperative drainage volume,postoperative indwelling drainage tube time and postoperative hospitalization time of the two groups were statistically significant（ P 0. 05）. Conclusions The treatment of empyema with video-assisted thoracoscopic surgery could drainagesufficiently,and suffered pulmonary reexpansion better. Resulted in small trauma,quick recovery,exact curative effect.
出处
《齐齐哈尔医学院学报》
2014年第3期355-356,共2页
Journal of Qiqihar Medical University
