电视胸腔镜手术治疗慢性脓胸的疗效观察  

The clinical effect of video-assisted thoracoscopic surgery （VATS） for chronic empyema

作　　者：魏东山[1] 李浒[1] 王国卿[1] 冯兴[1] 

机构地区：[1]杭州市第一人民医院胸外科,浙江省杭州310006

出　　处：《中国基层医药》2011年第18期2489-2490,共2页Chinese Journal of Primary Medicine and Pharmacy

摘　　要：目的探讨电视胸腔镜手术治疗慢性脓胸的临床疗效。方法74例慢性脓胸患者分为观察组和对照组，对照组给予开胸胸膜纤维板剥脱术治疗，观察组给予电视胸腔镜手术治疗。结果观察组胸腔引流管留置时间（6．2±1．4）d，住院时间（11．2±3．7）d，并发症发生率2．9％（1／35），均显著小于对照组的（9．5±2．1）d（t=5．126，P〈0．01），（18．7±5．5）d（t=4．315，P〈0．01），20．5％（8／39）（x2=3．86，P〈0．05）。结论电视胸腔镜手术可用于轻症慢性脓胸的治疗，但需严格控制手术指征。Objective To explore the clinical effect of video-assisted thoracoscopic surgery（VATS） for chro- nic empyema. Methods 74 patients with chronic empyema were divided into experimental group and control group, control group was given deeorticationoflung,and experimental group was given VATS. Results The duration of chest tube drainage, hospitalization and complications in experimental group was significantly better than that in control group, it showed better clinical effect. Conclusion For part of patients without the serious disease change of chronic ernpyema, if the surgery indication could be controlled strictly, the VATS was considerable.

关 键 词：胸腔镜检查 胸外科手术 电视辅助 慢性脓胸 

分 类 号：R65[医药卫生—外科学]