电视辅助胸腔镜与开放式纤维板剥脱术治疗慢结核性脓胸的临床效果观察

Clinical observation of video assisted thoracoscopy and open fiberboard stripping for chronic tuberculous empyema

目的探讨电视辅助胸腔镜与开放式纤维板剥脱术治疗慢结核性脓胸的临床效果。方法选取2018年1月至2020年2月本院收治的慢性结核性患者80例,采用随机数字表法分为观察组和对照组,每组40例。对照组采用开放式纤维板剥脱术治疗,观察组采用电视胸腔镜胸膜纤维板剥脱术治疗。比较两组患者手术时间、术中出血量、术后24 h引流量、引流管留置时间、肺功能指标变化及并发症发生情况。结果两组手术时间比较差异无统计学意义,观察组术中出血量、术后24 h引流量均少于对照组,引流管留置时间短于对照组(P<0.05);治疗后,两组患者各项肺功能指标均有改善,观察组患者肺功能指标均优于对照组(P<0.05);观察组患者并发症发生率低于对照组(P<0.05)。结论应用电视辅助胸腔镜纤维板剥脱术治疗慢性结核性脓胸效果显著,可明显改善肺功能,利于术后康复,值得临床推广。

Objective To investigate the clinical observation of video-assisted thoracoscopy and open fiberboard stripping in the treatment of chronic tuberculous empyema.Methods From January 2018 to February 2020,80 patients with chronic tuberculosis were admitted to our hospital.They were divided into observation group and control group by random number table method,with 40 cases in each group.The control group was treated with open fiberboard stripping,the observation group was treated with video assisted thoracoscopic pleural stripping.The operation time,intraoperative blood loss,24 h drainage volume,drainage tube indwelling time,pulmonary function changes and complications were compared between the two groups.Results There was no statistically significant difference in the operation time between the two groups.The intraoperative blood loss and 24 h drainage volume of the observation group were less than those of the control group,and the drainage tube indwelling time was shorter than that of the control group(P<0.05).After treatment,the lung function indexes of the two groups were improved,the pulmonary function index test data of the observation group was better than that of the control group(P<0.05).The postoperative complication rate of the observation group was lower than that of the control group(P<0.05).Conclusion The application of video-assisted thoracoscopic fiberboard stripping in the treatment of chronic tuberculous empyema has a significant effect,can significantly improve lung function,is beneficial to postoperative recovery,and is worthy of clinical promotion.