胸部微创切口治疗结核性脓胸  

Mini-invasive therapy on tubercular empyema

作　　者：卢军[1] 金明华[2] 

机构地区：[1]山东省警官总医院,250013 [2]山东大学医学院,250002

出　　处：《临床肺科杂志》2005年第5期610-611,共2页Journal of Clinical Pulmonary Medicine

摘　　要：目的探讨结核性脓胸的微创治疗方法。方法1993年至2003年经腋下微创剖胸切口行胸膜剥脱术治疗结核性脓胸,包括肺结核球切除8例,肺结核空洞切除2例,穿透性脓胸4例。结果术后并发血胸2例,皮下气肿14例,刀口Ⅱ期愈合11例,肋骨骨折36例。无手术死亡,无结核复发及播散。结论微创剖胸,具有损伤小,出血少,刀口位置隐蔽,易为病人接受等特点;电视胸腔镜外科辅助治疗,扩大了其手术适应症。Objective To explore the mini-invasive therapy of tubercular empyema.Methods From 1993 to 2003, we cut open the chest under the oxter in a mini-invasive way, and then, proceeded with pleura resection, which included 8 cases of phthisic ball resection, 2 cases of cavity resection and 4 cases of penetrability empyema.Results After operation, we found 2 cases of hemothorax, 14 cases of subcutaneous emphysema, and 11 cases of Stage II incision healed. There were 36 cases of rib fracture but none was dead. There was no case recurring or transmitting reported.Conclusion Mini-incision therapy has the advantage of little damage to the body with usually smaller amount of bleeding. The location of incision is less likely to be seen, which has been acceptable. Video-asisted thoraciscopic surgery provides another way to operate on patients.

关 键 词：结核性脓胸 切口治疗 微创 电视胸腔镜外科 胸部 胸膜剥脱术 2003年 1993年 结核球切除 肺结核空洞 手术适应症 治疗方法 剖胸切口 术后并发 Ⅱ期愈合 皮下气肿 肋骨骨折 手术死亡 辅助治疗 经腋下 穿透性 刀口 

分 类 号：R655[医药卫生—外科学]