胸腔镜手术治疗包裹性胸膜炎36例治疗体会

摘要

Objective: To investigate the effect of video-assisted thoracoscopic surgery in the treatment of encapsulated pleurisy.Methods: 36 patients with encapsulated tuberculous pleurisy were selected and combined with chest CT to locate the pleural effusion.Results: 36 cases of patients with thoracoscopic surgery in the treatment of 2 cases of open chest surgery,postoperative chest CT review of good recovery,no significant complications of surgery.Conclusion: thoracoscopy in the treatment of localized encapsulated pleurisy has the characteristics of less trauma,less bleeding,thorough treatment and faster postoperative recovery.%目的:探讨胸腔镜治疗包裹性胸膜炎手术治疗及术后疗效观察.方法:选取包裹性结核性胸膜炎患者36例,结合术前胸CT定位胸腔积液包裹位置,行胸腔镜下胸膜纤维板剥脱术.结果:36例患者中34例行胸腔镜手术治疗,2例改为开胸手术疗,术后复查胸CT恢复良好,无明显手术并发症.结论:胸腔镜在治疗局限性包裹性胸膜炎具有创伤小,出血少,治疗彻底,术后恢复快的特点.