胸腔镜手术（VATS）和传统手术对治疗急性脓胸的疗效对照研究

摘要

Objective To compare the effect of acute empyema with thoracoscopic surgery (VATS) and conventional surgical treatment.Methods 70 cases of acute empyema patients from June 2011 to June 2015 in our hospital were treated, according to the operation plan, they were divided into the study group and the control group, the control group were treated with conventional surgery treatment, the study group were treated with thoracoscopic surgery for treatment. Observe and compared the operation of the indicators , the clinical efficacy and complications of two groups.Results The study group of patients with blood loss, hospital stay, surgery time, chest drainage, independent activity time, retention time and postoperative chest tube use of antibiotics and other indicators were significantly better than the control group, the differences were statistically significance (P<0.05); the total study group of patients with clinical effectiveness and complication rate was significantly better than the control group, the differences were statistically significant (P<0.05). Conclusion The clinical efficacy of thoracoscopic surgery for acute empyema significant prognosis is significant, has a few complications, and it is safe and reliable for long-term clinical application.%目的：分析胸腔镜手术(VATS)和传统手术对治疗急性脓胸的疗效。方法选取2011年6月~2015年6月于我院接受治疗的70例急性脓胸患者，根据手术方案不同，分为研究组和对照组各35例。对照组患者采用传统手术进行治疗，研究组患者采用胸腔镜手术进行治疗。观察两组患者手术各项指标的情况；并比较两组患者的临床疗效及术后并发症。结果研究组患者的术中出血量、住院时间、手术时间、胸腔引流量、自主活动时间、留置胸管时间及术后使用抗生素时间等指标显著优于对照组，两组比较，差异均具有统计学意义(P<0.05)；研究组患者的临床总有效率及并发症发生率显著优于对照组，两组比较，差异均具有统计学意义(P<0.05)。结论胸腔镜手术治疗急性脓胸的临床疗效显著，预后效果良好，并发症少，安全可靠，适合临床长期推广应用。