摘要
Abstract
Objective To investigate the effects of video-assisted minithoracotomy for patients with tu -berculous empyema. Methods From May 2011 to January 2016, 94 patients with tuberculous empyema were divided into the observation group which received video -assisted minithoracotomy and the control group which received the traditional thoracotomy , according to the random number table , with 47 cases for each.It was com-pared between the two groups in the peri -operative results, pulmonary functions and postoperative complica -tions. Results Operation time, intraoperative blood loss, chest tube drainage time, drainage volume, anal-gesic duration and hospitalization stay of the observation group were significantly lower than that of the control group (P <0.05).There was no significant difference in the forced vital capacity (FVC), first pass lung func-tion (FEV1), maximum expiratory flow rate (PEF) and total lung volume (TLC) between the two groups be-fore operation (P >0.05).But after operation, it was significantly higher of FVC, FEV1, PEF and TLC in the observation group( P <0.05) .There were 3 cases (6.38%) of arrhythmia, 1 case (2.13%) of thoracic hemorrhage, 1 case (2.13%) of pulmonary infection in the observation group, with the total incidence rate of 10.64%.In the control group, there were 18 cases (38.30 %)of complications, including arrhythmia of 6(12.77%), thoracic hemorrhage of 3(6.38%), chest lung leakage of 2(4.26%), pulmonary infection of 4(8.51%) and incision infection of 3(6.38%).The difference of total complication rates be -tween the two groups was statistically significant ( P <0.05 ) . Conclusions The video-assisted minithoracotomy is effective in the treatment of tuberculous empyema , which can significantly shorten operation time and hospitalization stay, improve the lung functions of the patients , with the advantages of less trauma and less complication.关键词
结核性脓胸/胸腔镜检查Key words
tuberculous empyema/thoracoscopy分类
医药卫生
