胸腔镜辅助下肺结核自发气胸并Ⅱ期脓胸的外科治疗  

Evaluation of the thoracoscopy-assisted mini-incision in surgical treatment of lung Tuberculous pneumothorax with Ⅱ stage empyema

作　　者：薛宗锡[1] 刘健雄[1] 游佩涛[1] 邵铮[1] 

机构地区：[1]广州市胸科医院外科,510095

出　　处：《广州医药》2009年第3期5-7,共3页Guangzhou Medical Journal

摘　　要：目的探讨电视胸腔镜辅助小切口在肺结核自发气胸并Ⅱ期脓胸的外科治疗价值。方法1998—2008年，我们采用电视胸腔镜辅助小切口对46例肺结核自发气胸并Ⅱ期脓胸患者行手术治疗。结果无中转常规开胸手术。手术时间90～150min，平均60min。出血量平均120ml。术后胸腔引流2～5d，平均3d。术后住院12～21d，平均16d。随访6个月，无复发病例。结论电视胸腔镜辅助小切口在肺结核自发气胸并Ⅱ期脓胸的外科治疗中具有创伤小、出血少、手术时间短、术后恢复快、效果好等优点，Objective To evaluate the role of thoracoscopy-assisted mini-incision in surgical treatment of Lung Tuberculous pneumothorax with Ⅱ stage empyema. Methods From 1998 to 2008, surgical treatment with thoracoscopy-assisted mini-incision on 46 lung Tuberculous pneumothorax patients with Ⅱ stage empyema. Results None of the patients were converted to open surgery. The mean operation time was 60 min （90 - 150 min） ; blood loss mean 120 ml. In the patients, thoracic drainage lasted for 2 -5 d （mean 3 d） after the operation, and the hospital stay was 12 -21 d （mean 16 d） . During 6 month follow-up, no patient showed recurrence. Conclusion Since thoracoscopy-assisted mini-incision is assosiated with minimal tissue injury, few blood loss, quick postoperative recovery, short hospital stay, and few complications after the surgical treatment of lung Tuberculous pneumothorax with Ⅱ stage empyema, it is worth being widely used.

关 键 词：肺结核 电视胸腔镜 气胸 脓胸 

分 类 号：R655[医药卫生—外科学]