难治性空洞性肺结核治疗中电视辅助胸腔镜与传统开胸手术的效果对比研究

Comparative Study on the Effectiveness of Television-assisted Thoracoscopy and Traditional Open Chest Surgery in the Treatment of Refractory Cavitary Pulmonary Tuberculosis

目的 对比研究电视辅助胸腔镜手术与传统开胸手术在难治性空洞性肺结核治疗中的效果。方法 回顾性选取2022年4月—2023年10月贵州省贵阳市公共卫生救治中心胸外科收治的70例难治性空洞性肺结核患者的临床资料,以不同治疗方法分组,传统组(35例)接受传统开胸手术治疗,胸腔镜组(35例)接受电视辅助胸腔镜手术治疗。对比两组手术指标、呼吸功能、治疗有效率、并发症发生率。结果 治疗后,胸腔镜组患者术中出血量少于传统组,术后带管时间以及住院时间均短于传统组,手术时间长于传统组,差异有统计学意义(P均<0.05);治疗后,胸腔镜组患者呼吸功能优于传统组,并发症发生率低于传统组,差异有统计学意义(P均<0.05);治疗后,胸腔镜组治疗有效率(97.14%)高于传统组(77.14%),差异有统计学意义(χ^(2)=4.590,P<0.05)。结论 电视辅助胸腔镜手术在治疗难治性空洞性肺结核中相较于传统开胸手术的整体效果显著,同时还能提升患者的呼吸功能,降低并发症发生率,提高治疗有效率。

Objective To compare and contrast the effects of television-assisted thoracoscopic surgery and traditional open chest surgery in the treatment of refractory cavitary pulmonary tuberculosis.Methods The clinical data of 70 patients with refractory cavernous pulmonary tuberculosis admitted to the Department of Thoracic Surgery of Guiyang Public Health Rescue Center,from April 2022 to October 2023 were retrospectively selected and grouped by different treatment methods.The traditional group(35 cases) received traditional open chest surgery treatment,and the thoracoscopic group(35 cases) received television-assisted thoracoscopic surgery treatment.Comparison of surgical indexes,respiratory function,treatment efficiency,and complication rate of the two groups.Results After treatment,the intraoperative bleeding of patients in the thoracoscopic group was less than that of the traditional group,the postoperative time with tube as well as the hospitalization time were shorter than that of the traditional group,and the operation time was longer than that of the traditional group,and the differences were statistically significant(all P<0.05).After treatment,the respiratory function of patients in the thoracoscopic group was better than that of the traditional group,and the complication rate was lower than that of the traditional group,and the differences were statistically significant(all P<0.05).After treatment,the therapeutic efficiency of the thoracoscopic group(97.14%) was higher than that of the traditional group(77.14%),and the difference was statistically significant(χ^(2)=4.590,P<0.05).Conclusion The overall effect of television-assisted thoracoscopic surgery in the treatment of refractory cavitary pulmonary tuberculosis was significant compared with that of traditional open chest surgery,and it also improved the respiratory function of the patients,reduced the incidence of complications,and increased the therapeutic efficiency.