电视辅助胸腔镜手术治疗局限性结核性脓胸31例  

Video-assisted thoracuscopic surgery in 31 cases with localized tuberculous empyema

作　　者：周密[1] 杨智峰[1] 许俊[1] 黄朝林[1] 倪正义 

机构地区：[1]武汉市医疗救治中心胸外科,430000

出　　处：《中国防痨杂志》2017年第5期452-454,共3页Chinese Journal of Antituberculosis

摘　　要：目的探讨电视辅助胸腔镜手术（video-assisted thoracoscopic surgery，VATS）治疗局限性结核性脓胸的可行性。方法收集2013年1月至2016年12月在武汉市医疗救治中心行VATS的31例局限性结核性脓胸患者，对本组患者行局限性结核性脓胸清除及纤维板剥离术的临床资料进行分析，对临床疗效进行评价。结果31例患者VATS均顺利完成，手术持续时间（2．5±1．1）h，术中出血量（275±97）ml，术后10～12d出院。术后第1、3、6个月CT扫描复查，显示残腔逐渐消失，肺膨胀良好。随访至2017年4月（最短4个月，最长3年）均无结核感染播散及复发。结论VATS治疗局限性结核性脓胸疗效较好，安全可靠。Objective To explore the feasibility of video-assisted thoraeoseopie surgery （VATS） for treatment of localized tuberculous empyema. Methods Clinical data of 31 patients with localized tuberculous empyema, who were treated with debridement and stripping of fibrous plate from Wuhan Medical Treatment Center between January 2013 and December 2016 were analyzed, in order to evaluate the effect of VATS. Results The VATS in 31 cases were all successfully performed. The operation time was （2.5±1.1） hours, the intra-operative bleeding volume was （275±97） ml, and patients discharged 10-12 days postoperative. Results of CT 1st, 3th, and 6th months after operation showed that the residual cavity disappeared gradually, and the lung expanded well. Until April 2017 （the range of follow up was from 4 mollths to 3 years）, no tuberculosis dissemination and recurrence were found. Conclusion VATS is effective in treatment of localized tuberculous empyema, it is also safe and reliable.

关 键 词：脓胸 结核性 胸腔镜 胸外科手术 电视辅助 回顾性研究 

分 类 号：R734.2[医药卫生—肿瘤]