单操作孔胸腔镜下胸膜纤维板剥脱术治疗慢性结核性脓胸的可行性分析

发布时间：2018-10-20 12:10

【摘要】：目的探讨单操作孔胸腔镜下胸膜纤维板剥脱术治疗慢性结核性脓胸的可行性。方法回顾性分析绍兴市立医院2013年1月-2016年5月微创治疗慢性结核性脓胸52例,其中50例在单操作孔胸腔镜下行胸膜纤维板剥脱术,2例改胸腔镜辅助小切口。结果围手术期无死亡,手术时间60~240 min,平均160 min,术中出血150~2 000 ml,平均350 ml,术后放置胸管时间3~21 d,平均7 d,术后持续漏气3例,局限性肺不张3例,切口感染1例,胸腔渗血1例,心律失常3例,均经过相应治疗后痊愈。失访3例,其余49例随访3~36个月,肺复张良好,效果满意。结论严格选择适应证的条件下单操作孔胸腔镜下胸膜纤维板剥脱术治疗慢性结核性脓胸安全可行,值得应用推广。
[Abstract]:Objective to investigate the feasibility of single-hole thoracoscopic pleural fibrinectomy in the treatment of chronic tuberculous empyema. Methods 52 cases of chronic tuberculous empyema were treated by minimally invasive treatment in Shaoxing Municipal Hospital from January 2013 to May 2016. Among them, 50 cases underwent thoracoscopic pleural fibrinectomy and 2 cases underwent thoracoscopic assisted small incision. Results there was no death in the perioperative period. The average operative time was 150 ~ 2 000 ml, and 350 ml, for intraoperative bleeding at 60 ~ 240 min,. The mean time for placement of thoracic duct was 3 ~ 21 days (mean 7 days). There were 3 cases of persistent air leakage, 3 cases of local atelectasis, 1 case of incision infection and 1 case of blood leakage in thoracic cavity. Three cases of arrhythmia were cured after corresponding treatment. The other 49 cases were followed up for 3 ~ 36 months. Conclusion it is safe and feasible to select the conditions of strict indication for the treatment of chronic tuberculous empyema under thoracoscopic operation, which is worth popularizing.
【作者单位】：浙江省绍兴市立医院胸外科;浙江省绍兴市立医院科教科;
【基金】：浙江省医药卫生科技计划项目(No:2016KYB309)
【分类号】：R655

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