胸腔镜下冷、热消融治疗复杂性胸腔积液的疗效比较  

Comparison of the Clinical Effect between Thoracoscopic Cryoablation and Thermal Ablation on Complicated Pleural Effusion

作　　者：井晓婷[1,2] 金艳坤[3] 张湘燕[3] 徐艳菊 夏婧[3] 杨杰[3] 余红[3] 叶贤伟[3] 

机构地区：[1]贵阳医学院附院呼吸科,贵州贵阳550004 [2]贵阳医学院 [3]贵州省人民医院呼吸与危重症医学科-贵州省呼吸疾病研究所,贵州贵阳550002

出　　处：《贵阳医学院学报》2015年第2期170-171,175,共3页Journal of Guiyang Medical College

摘　　要：目的:探讨胸腔镜下联合冷、热消融治疗复杂性胸腔积液的临床疗效。方法:选取复杂性胸腔积液患者32例,分为胸腔镜联合冷消融治疗18例,胸腔镜联合热消融治疗14例,比较两组手术时间、引流管放置时间及手术并发症。结果:两组均顺利完成手术,无严重并发症及围手术期死亡病例,联合冷消融组手术操作时间相对较短,但两组比较差异无统计学意义(P>0.05);冷消融组术后胸腔闭式引流管放置时间较短,两组比较差异有统计学意义(P<0.05)。结论:胸腔镜下联合冷、热消融治疗复杂性胸腔积液均能收到满意疗效,冷消融治疗引流管放置时间较短。Objective： To investigate the clinical effect of thoracoscopic cryoablation and thoracoscop- ic thermal ablation on complicated pleural effusion. Methods： Thirty-two complicated pleural effusion diagnosed patients were selected and randomly divided into 18 treated with thoracoscopic cryoablation and 14 treated with thoracoscopic thermal ablation. The differences of the operation time and standing time of the drainage tube between the two groups and surgery complications were observed. Results： Operation in both groups was successfully completed without serious complications and perioperative death cases. The cryoablation group exhibited relatively shorter operation time, differences of both groups presented no statistical significance （ P 〉 0.05 ） ; the cryoablation group exhibited shorter stand- ing time of the postoperative drainage tube, there were statistical differences between the two groups （P 〉 0.05 ）. Conclusions ： Both thoracoscopic cryoablation and thoracoscopie thermal ablation have saris- factory effects on complicated pleural effusion, and cryoablation treatment requires shorter standing time of the postoperative drainage tube.

关 键 词：胸腔镜 冷消融 热消融 胸腔积液 疗效 并发症 

分 类 号：R454.5[医药卫生—治疗学] R655.2[医药卫生—临床医学]