胸腔镜手术与传统开胸手术在治疗急性脓胸中的疗效对比及分析

Comparison and Analysis of Thoracoscopic Surgery and Traditional Surgery in the Treatment of Acute Empyema

目的对胸腔镜手术与传统开胸手术在治疗急性脓胸过程中的疗效进行回顾性对比及分析,为临床上对急性脓胸患者的治疗工作提供参考。方法选择于2011年1月1日—2016年1月1日,在我院接受治疗的80例急性脓胸患者的临床资料进行回顾性对照分析,将患者分为早期接受开胸手术,近期接受胸腔镜手术的两组,开胸组患者采取传统开胸手术进行治疗,电视辅助胸腔镜手术组(VATS组)患者则采取胸腔镜手术进行治疗,对两组患者的手术情况、治疗效果以及术后并发症的情况进行对比研究。结果 VATS组患者的各项手术指标,包括手术时间、术中出血量等均明显少于开胸组患者,术后并发症发生率则低于开胸组患者。P均<0.05,差异具有统计学意义。结论在对急性脓胸患者进行治疗中,采取胸腔镜手术,与传统开胸手术相比,不仅可以有效地提高患者的手术效果,还可以降低患者的术后并发症发生率,具有较高的临床应用价值。

Objective To compare and analyze the curative effect of thoracoscopic surgery and traditional surgery in the treatment of acute empyema, and provide reference for the treatment of acute empyema patients. Methods From January 1, 2011 to January 1, 2016, 80 patients with acute empyema were treated as our subjects. The patients were randomly divided into two groups. Patients in thoracotomy group were treated with traditional thoracotomy. Patients in VATS group were treated with thoracoscopic surgery. The operation of the two groups of patients, the treatment effect and the postoperative complications werecompared. Results The surgical indexes, including the operation time and intraoperative blood loss, were signifcantly better in the VATS group than those in thoracotomy group. And the postoperative complications werelower than thoracotomy group. P 〈 0.05, the difference was statistically signifcant. Conclusion In the treatment of patients with acute empyema, thoracoscopic surgery compared with traditional surgery, not only can effectively enhance the patient＇s surgical results, but also can reduce the incidence of postoperative complications in patients, with high clinical application value.