肺结核合并2型糖尿病患者行电视胸腔镜手术治疗的临床分析

Clinical Analysis of Video-assisted Thoracoscopic Surgery for Patients with Pulmonary Tuberculosis Complicated with Type 2 Diabetes

目的探讨电视胸腔镜手术治疗肺结核合并2型糖尿病的临床效果。方法该次研究中筛选2015年1月-2018年1月期间在该院行手术治疗的67肺结核合并2型糖尿病患者为研究对象,利用平行对照法分组,研究组(34例)行电视胸腔镜手术,参照组(33例)行常规开胸手术,比较两组手术效果。结果研究组患者的手术时长、置管时长、住院时长比参照组短,术中失血量比参照组少,差异有统计学意义(P<0.05)。术后研究组患者的血糖水平低于参照组,差异有统计学意义(P<0.05)。研究组和参照组的术后并发症发生率分别为2.94%和18.18%,术后1年肺结核复发率分别为0.00%和12.12%,差异有统计学意义(P<0.05)。结论肺结核合并2型糖尿病患者行电视胸腔镜手术有着较好的临床效果,不仅手术时间短、出血量少,而且术后恢复快、不易发生并发症,能有效缩短住院时长,还能降低复发率改善预后,值得全方位推广。

Objective To investigate the clinical effect of video-assisted thoracoscopic surgery for pulmonary tuberculosis complicated with type 2 diabetes. Methods In this study, 67 patients with pulmonary tuberculosis and type 2 diabetes who underwent surgery in the hospital from January 2015 to January 2018 were enrolled in the study. The patients in the study group(34 patients) underwent video-assisted thoracoscopic surgery. In the operation, the reference group(33 cases)underwent routine thoracotomy, and the effects of the two groups were compared. Results The length of operation, duration of hospitalization, and length of hospitalization were shorter in the study group than in the reference group. The intraoperative blood loss was less than that in the reference group, and the difference was statistically significant(P<0.05).The blood glucose level of the postoperative study group was lower than that of the reference group, and the difference was statistically significant(P<0.05). The postoperative complication rates of the study group and the reference group were 2.94%and 18.18%, respectively. The recurrence rate of tuberculosis was 0.00% and 12.12%, respectively, and the difference was statistically significant(P<0.05). Conclusion Video-assisted thoracoscopic surgery for patients with pulmonary tuberculosis and type 2 diabetes has a good clinical effect. It not only has short operation time and less bleeding, but also has quick recovery after surgery and is less prone to complications. It can effectively shorten the length of hospital stay and reduce the recurrence rate, improve the prognosis, it is worth promoting in all directions.