胸腔镜小切口胸膜纤维板剥脱术治疗对Ⅲ期结核性脓胸患者肺功能及炎性因子水平的影响  

Impact of Thoracoscopic Small Incision Decortication on Pulmonary Function and Inflammatory Factor Levels in Patients with Stage Ⅲ Tuberculous Empyema

作　　者：曹晨阳 曹博文 CAO Chenyang;CAO Bowen(Department of Thoracic Surgery,the First Affiliated Hospital of Henan University of Science and Technology,Luoyang 471000,China;Operatoin Room,Yichuan County People's Hospital,Luoyang 471300,China)

机构地区：[1]河南科技大学第一附属医院胸外科,河南洛阳471000 [2]河南省伊川县人民医院手术室,河南洛阳471300

出　　处：《临床医学工程》2023年第11期1483-1484,共2页Clinical Medicine & Engineering

摘　　要：目的探讨胸腔镜小切口胸膜纤维板剥脱术治疗对Ⅲ期结核性脓胸患者肺功能及炎性因子水平的影响。方法选取80例Ⅲ期结核性脓胸患者,根据手术方法不同分为研究组(n=46)和对照组(n=34)。研究组行胸腔镜小切口胸膜纤维板剥脱术治疗,对照组行传统开胸手术治疗。比较两组的术后肺功能及炎性因子水平。结果术后,研究组LVEF、FEV_(1)、FVC高于对照组,IL-2、IL-6、TNF-α水平均低于对照组(P<0.05)。结论与传统开胸手术相比,胸腔镜小切口胸膜纤维板剥脱术治疗Ⅲ期结核性脓胸的效果更好,可有效改善患者的肺功能,减轻其炎性反应.Objective To explore the impact of thoracoscopic small incision decortication on pulmonary function and inflammatory factor levels in patients with stage Ⅲ tuberculous empyema.Methods 80 patients with stage Ⅲ tuberculous empyema were selected and divided into study group(n=46)and control group(n=34)according to different surgical methods.The study group was treated with thoracoscopic small incision decortication,and the control group was treated with traditional thoracotomy.The postoperative pulmonary function and inflammatory factor levels were compared between the two groups.Results After surgery,the LVEF,FEV_(1) and FVC of the study group were higher than those of the control group,and the IL-2,IL-6 and TNF-αlevels were lower than those of the control group(P<0.o5).Conclusions Compared with traditional thoracotomy,thoracoscopic small incision decortication has better effect in the treatment of stage II tuberculous empyema,which can effectively improve the pulmonary function and reduce the inflammatory response.

关 键 词：Ⅲ期结核性脓胸 胸腔镜小切口胸膜纤维板剥脱术 传统开胸手术 肺功能 炎性因子 

分 类 号：R655[医药卫生—外科学]