摘要
目的 通过与开胸手术的对比 ,研究电视胸腔镜外科对结核性脓胸的治疗价值和优越性。方法 1998年 12月～ 2 0 0 2年 12月 ,2 8名结核性脓胸患者接受了电视胸腔镜手术治疗 ,术式包括脓胸清理、引流术(n =11)和纤维板剥脱术 (n =17) ,与同期行开胸手术的 2 0例患者在手术时间、术后住院时间、拔管时间、术后止痛剂用量进行比较。结果 电视胸腔镜手术组平均术后住院时间与开胸组比较有显著差异 ;术后 2d内吗啡用量与开胸组比较有显著差异 ,其余无显著差异。结论 电视胸腔镜外科是治疗早期结核性脓胸安全、有效的微创方法 ,能完全消灭脓腔 ,使肺复张。但在病例选择上受一定限制 ,尚不能完全代替一些传统术式 ,辅以小切口开胸可扩大手术适应证。
Objective:To evaluate the role of VATS in the treatment of tuberculous empyema according to the compare with the conventional thoracotomy.Methods: From December 1998 to December 2002,the tuberculous empyema debridement,drainage ( n =11) and decortication ( n =17) by VATS were performed in 28 cases. Other 20 patients were used conventional thoracotomy during the same period. To compare the operating time,post-operative stay,duration of post-operative drainage,the mean dose of analgesics in the two groups.Results:The post-operative stay and the mean dose of analgetic were excelled in the group of VATS.Conclusions: The VATS procedure is a safe and effective minimal access for tuberculous empyema used for selective patients but cannot replace the conventional thoracotomy completely.VAMT is the proper supplement of VATS.
出处
《中国内镜杂志》
CSCD
2004年第2期47-49,共3页
China Journal of Endoscopy
