藏区高原肺包虫病胸腔镜和开胸内囊穿刺摘除术疗效对比

Efficacy comparison of thoracoscopic and thoracotomic cystectomy with needle aspiration for pulmonary hydatid disease in the plateau area of Tibet

目的:对比藏区高原肺包虫病胸腔镜和开胸内囊穿刺摘除术的效果。方法:将2015年7月至2018年8月日喀则市人民医院收治的行胸腔镜内囊穿刺摘除术治疗的36例肺包虫病患者纳入研究组,匹配同期行开胸手术36例患者为对照组,比较2种方式的手术时间、术中出血量、术后引流量、术后住院时间、并发症,通过术后影像学和复发率评价预后情况。结果:胸腔镜组和开胸组在手术时间、出血量、引流量、术后住院时间差异有统计学意义(P<0.05),胸腔镜组皆优于开胸组。2组术后并发症、影像学不良转归、复发率差异无统计学意义。结论:采用胸腔镜内囊穿刺摘除术治疗藏区高原肺包虫病具有一定优势。

Objective:To compare the effect of thoracoscopic and thoracotomic cystectomy with needle aspiration for pulmonary hydatid disease in the plateau area of Tibet.Methods:A retrospective analysis was performed that 36 patients who suffered from pulmonary hydatid disease and underwent thoracoscopic cystectomy with needle aspiration in the Shigatse People’s Hospital from July 2015 to August 2018 were selected as the study group,while 36 matching patients who underwent thoracotomic cystectomy with needle aspiration during the same period were selected as the control group.Comparisons of the operation time,intraoperative blood loss,drainage volume,postoperative hospital stay,and postoperative complications between the study group and the control group were performed.Postoperative CT imaging and recurrence were compared to evaluate prognosis.Results:There was significant difference in general data between the thoracoscopic group and the thoracotomy group in terms of the operation time,bleeding volume,drainage volume and hospital stay after the operation(P<0.05),the thoracoscopic group was superior.There was no significant difference in postoperative complications,poor imaging outcome and recurrence rate between the two groups.Conclusions:Thoracoscopic cystectomy with needle aspiration has certain advantages in the treatment of pulmonary hydatid disease in high altitude Tibet areas.