摘要
Abstract
Objective To explore the feasibility in treatment of limitation encapsulated tuberculous empyema with retrograde pleural stripping operation via single-port video-assisted thoracoscopic surgery.Methods We analyzed retrospectively the treatment by retrograde pleural stripping operation via single-port video-assisted thoracoscopic surgery in 35 cases with limitation encapsulated tuberculous empyema admitted in our hospital during Jan.2015 to Jun.2016.The intraoperative bleeding,operation time,postoperative drainage extubation time and pulmonary function before and after operation were analyzed.The measurement data were expressed as "-x±s" and analyzed using t test.P＜0.05 was considered statistically significant.Results All patients underwent completely via thoracoscopy.The average length of the incision was (4.71 ±0.80) cm,the average operation time was (164.20± 28.01) min,the average intraoperative bleeding was (298.97±74.24) ml.All the incisions were healed by first intention.The average hospitalization time was (15.80 ±4.28) days.The differences before and after operation (one month) in FVC ((2.35±0.27) L vs.(3.36±0.20) L),FEV1 ((2.13±0.20) L vs.(3.04±0.17) L),TLC ((4.99±0.70) L vs.(5.51±0.51) L) were statistically significant (t=17.68,3.43 and 25.53,P＜0.05).It indicated that the pulmonary function was improved obviously after operation.No case was relapsed during the follow up for 6 months.Conclusion The treatment of limitation encapsulated tuberculous empyema with retrograde pleu ral stripping operation via single-port video-assisted thoracoscopic surgery can achieve the objectives of lesion debridement,less intraoperative bleeding,less wound injury,and the postoperative pulmonary function improvement.关键词
脓胸,结核性/胸腔镜/胸外科手术,电视辅助/外科手术,微创性/回顾性研究Key words
Empyema, tuberculous/Thoracoscopes/Thoracic surgery, video-assisted/Surgical procedures, minimally invasive/Retrospective studies
