电视胸腔镜在慢性结核性脓胸术中的应用

摘要

目的 探讨电视胸腔镜在慢性结核性脓胸中的应用效果.方法 慢性结核性脓胸40例病人,随机数字表法均分为开胸手术组和胸腔镜手术组,比较两组病人的近期和远期疗效.结果 与开胸手术组相比较,胸腔镜手术组病人的术中出血量,术后引流量、拔管时间、哌替啶用量和住院时间均显著下降,两组病人的手术时间差异无统计学意义.随访1年,疾病的复发率以及肺功能的恢复情况均差异无统计学意义.结论 电视胸腔镜对于慢性结核性脓胸的疗效确切,且创伤小,疗程短,有利于病人的康复.%Objective To investigate the effect of video-assisted thoracic surgery in the treatment of chronic tuberculous empyema. Methods A total of 40 hospitalized patients with chronic tuberculous empyema were randomly divided into conventional surgery group and video-assisted surgery group.The short and long term effects were compared between two groups.Results Compared with conven-tional surgery group,the intraoperative blood loss,postoperative drainage flow,postoperative extubation time,postoperative Pethidine consumption and postoperative hospital stay in video-assisted surgery group were decreased significantly.There was no statistical differ-ence in operative time between two groups.After 1-year follow-up,there were no statistical differences in the recurrence rate as well as the lungfunctionrecoverybetweentwogroups.Conclusion The video-assisted thoracic surgery has exact efficacyin the treatment of chronic tuberculous empyema.The small trauma and short course of treatment for this surgery is conducive for the rehabilitation of patients.