功能性胸廓成形术治疗肺癌术后脓胸17例临床分析

Clinical analysis of functional thoracoplasty in the treatment of empyema after operation of lung cancer in 17 patients

目的探讨功能性胸廓成形术治疗肺癌术后脓胸的可行性及临床疗效。方法对17例肺癌术后并发脓胸经保守治疗无效的患者施行功能性胸廓成形术,观察手术完成情况、术中输血量以及术后并发症。结果 17例患者均成功接受功能性胸廓成形手术,术中平均输血(350.2±61.4)mL,术后并发呼吸衰竭2例,并发心功能衰竭1例,均经治疗后恢复,取得良好手术效果。结论肺癌术后脓胸尤其全肺切除术后脓胸不多见,但病情急且重,经保守治疗失败后行功能性胸廓成形手的疗效满意,值得推广。

Objective To explore the feasibility and clinical effect of functional thoracoplas- ty in the treatment of empyema after operation of lung cancer. Methods Seventeen patients with empyema after operation of lung cancer who had invalid conservative treatment received functional thoracoplasty. The completion condition, blood transfusion amount during operation, and complica- tions after operation were observed. Results All 17 patients successfully finished the operation, and the median blood transfusion amount was （350.2± 61.4） mL. There were 2 cases of respirato- ry failure and 1 case of heart failure after operation. And they recovered after treatment. The effect was satisfying. Conclusion Ampyema after operation of lung cancer, especially after pneumonecto- my, is rare and but it is severe if there is one. The effect of functional thoracoplasty after invalid conservative treatment is satisfying and worthy of clinical application.