单孔胸腔镜早期脓胸廓清术治疗急性脓胸的临床研究

摘要

目的：比较单孔胸腔镜下早期脓胸廓清术与传统胸腔闭式引流术治疗急性脓胸的疗效。方法回顾性分析我院胸外科2012年1月至2015年6月收治的65例急性脓胸患者的临床资料，其中30例行单孔胸腔镜下脓胸廓清术作为观察组，35例行胸腔闭式引流术作为对照组，比较2种方式治疗急性脓胸的疗效。结果观察组在术后胸引管留置时间、住院时间、术后使用抗生素时间明显少于对照组，差异有统计学意义（P＜0．05），同时在术后并发症发生率、转变为慢性脓胸的比例及再次置管率上也低于对照组，差异具有统计学意义（ P＜0．05）。结论急性脓胸早期经单孔胸腔镜行脓胸廓清术安全有效。%Objective To explore the curative effect of the single pore video-assisted thoracoscopic surgery and thoracic closed drainage for patients with acute pyothorax by comparing the advantage and disadvantage of two methods.Methods The clinical data of 65 patients with acute pyothorax in our hospital from January 2012 to June 2015 were retrospectively analyzed.Of which 30 patients underwent single pore video-assisted thoracoscopic surgery were as observation group,35 cases received thoracic closed drainage were as the control group.The cura-tive effect of two methods for acute pyothorax was compared by analyzing the result data of two groups.Results The postoperative chest tube indwelling time,length of hospital stay,postoperative antibiotics of observation group were significantly less than those of the control group,the difference was statistically significant(P<0.05).And the incidence of postoperative complications,the proportion of the chronic pyothorax and secondary tube rate of observation group were lower than those of the control group,the difference was statistically significant(P<0.05). Conclusion The single pore video-assisted thoracoscopic surgery is safe and effective for treatment of acute pyothorax, which is worth promoting.