微创扩清联合支气管灌洗术治疗小儿急性脓胸的效果观察  

Observation of minimally invasive extensive dissection combined with bronchial lavage in the treatment of acute empyema results

作　　者：陶永欣[1] 李敬波[1] 

机构地区：[1]吉林省长春市儿童医院心胸外科,吉林省长春市130051

出　　处：《临床小儿外科杂志》2016年第2期132-134,共3页Journal of Clinical Pediatric Surgery

摘　　要：目的探讨微创扩清联合支气管灌洗术治疗小儿急性脓胸的效果。方法选取本院2011年4月至2015年4月收治的68例小儿急性脓胸患儿,随机分为试验组和对照组,两组各34例,对照组采用微创扩清治疗,试验组采用微创扩清联合支气管灌洗术治疗。比较两组治疗效果。结果试验组总有效率(97.1%)明显高于对照组(79.4%),差异有统计学意义(x^2=6.248,P<0.05);两组治疗后PO2、PCO2及WBC指标明显优于治疗前;试验组治疗后PO2为(80.30±9.26)mmHg,PCO2为(45.53±4.27)mmHg,WBC为(8.85±3.62)G·L^(-1);对照组PO2为(70.33±8.75)mmHg,PCO2为(51.61±5.40)mmHg,WBC为(10.81±4.00)G·L^(-1),差异有统计学意义,P<0.05。试验组住院时间(8.8±2.4)d,明显短于对照组的(15.9±2.6)d,差异有统计学意义(t=5.246,P<0.05)。结论采用微创扩清联合支气管灌洗术治疗小儿急性脓胸可以有效改善患者症状,康复快。Objetive To investigate the effect of minimally invasive extensive dissection combined with bronchial lavage in the treatment of acute empyema results. Methods selected in our hospital in April 2011 and 2015 April 68 eases of acute empyema in children in the treatment of children, analysis were randomly divided into as the experimental group control group with 34 cases in each,was used in the control group treated with minimally invasive extensive dissection, the experimental group with minimally invasive extensive dissectioncombined with bronchial lavage in the treatment. The treatment effect of the 2 groups were compared. Results Experimental group total effective rate （97.1%） was significantly higher than that of the control group （ 79.4% ）, with statistical significance （χ^2 = 6. 248, P 〈 0.05 ） ; after treatment, the patients in the two groups of PO2 ,pCO2 and WBC was significantly better than before treatment and treatment group patients after PO2 （80.30±9.26） mmHg, pCO2 （45.53 ± 4.27 ） mmHg and WBC （ 8.85 ± 3.62 ） g. L^-1 indicators are better than the control group PO2 （70.33 ±875 ） mmHg, pCO2 （51.61 ± 5.40） mmHg and WBC （ 10. 81 ± 4.00） g L^-1, the difference is statistically significant, P 〈 0. 05 ）. Test group hospitalization time （8.8 ± 2.4） d was sig- nificantly shorter than that of the control group （ 15.9±2.6） d, with statistical significance （ t = 5. 246, P 〈 0. 05）. Conclusions Minimally invasive expansion combined with bronchial lavage in the treatment of children with acute empyema can effectively improve the patient＇s symptoms and facilitate recovery.

关 键 词：支气管源性囊肿/先天性 胸腔镜 外科手术 对比研究 

分 类 号：R726.5[医药卫生—儿科]