电视胸腔镜手术在结核性脓胸外科治疗中的价值

The role of Video-ssisted thoracic surgery in treatment of tuberculous empyema

目的通过与传统开胸手术的对比,探讨胸腔镜手术在结核性脓胸外科治疗中的价值。方法 2005年6月～2010年6月笔者对66例结核性脓胸患者,进行了脓胸清除并纤维板剥脱术,根据手术方式分为胸腔镜组(A组n=19)、胸腔镜辅助小切口组(B组n=26),传统开胸组(C组n=21),对各组多项数据进行回顾性分析比较。结果 A组在手术时间、术中出血量、术后带管时间、住院时间上均少于C组;B组在术后带管时间、住院时间上少于C组。结论电视胸腔镜外科治疗结核性脓胸,创伤小、疗效好、疗程短,VATS辅助小切口疗效近似VATS。

Objective To evaluate the value of video - assisted thoracic surgery （VATS） in the treatment of tuberculous empyema according to the compare with the conventional thoraeotomy. Methods From June 2005 to June 2010, Sixty - six patients with tuberculous empyema were treated by VATS （ GroupA, n = 19 ） ,VATS mini - incision （ GroupB, n = 26） and conventional therapy（ Group C, n = 21 ）. Postoperative parameters of the three groups were reviewed retrospectively. Results The operational time, blood loss, chest tube drainage and hospitalization in Group A was shorter than those in Group C, chest tube drainage and hospitalization in Group B was shorter than those in Group C. Conclusion VATS for empyema is efficacious and less traumatic, and the duration of treatment was short. VATS mini - incision is efficacious like VATS.