电视胸腔镜手术在结核性脓胸外科治疗中的价值
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【摘要】 目的 通过与传统开胸手术的对比，探讨胸腔镜手术在结核性脓胸外科治疗中的价值。方法 2005年6月～2010年6月笔者对66例结核性脓胸患者，进行了脓胸清除并纤维板剥脱术，根据手术方式分为胸腔镜组(A组n19)、胸腔镜辅助小切口组(B组n26)，传统开胸组(C组n21)，对各组多项数据进行回顾性分析比较。结果 A组在手术时间、术中出血量、术后带管时间、住院时间上均少于C组；B组在术后带管时间、住院时间上少于C组。结论 电视胸腔镜外科治疗结核性脓胸，创伤小、疗效好、疗程短，VATS辅助小切口疗效近似VATS。
【关键词】 结核性脓胸; 电视胸腔镜手术; 胸腔镜小切口手术
The role of Video-ssisted thoracic surgery in treatment of tuberculous empyema WANG Jian,WANG Zheng,LIN Shao-lin,YANG Lin,QIAO Kun. Shenzhen People's Hospital,Second Clinical Medical College of Jinan University,Shenzhen 518020, China
【Abstract】 Objective To evaluate the value of video - assisted thoracic surgery (VATS) in the treatment of tuberculous empyema according to the compare with the conventional thoracotomy.Methods From June 2005 to June 2010,Sixty-six patients with tuberculous empyema were treated by VATS ( GroupA,n19)、VATS mini-incision ( GroupB,n26) and conventional therapy( Group C,n21). Postoperative parameters of the three groups were reviewed retrospectively.Results The operational time, blood loss, chest tube drainage and hospitalization in Group A was shorter than those in Group C，chest tube drainage and hospitalization in Group B was shorter than those in Group C ......
【摘要】 目的 通过与传统开胸手术的对比，探讨胸腔镜手术在结核性脓胸外科治疗中的价值。方法 2005年6月～2010年6月笔者对66例结核性脓胸患者，进行了脓胸清除并纤维板剥脱术，根据手术方式分为胸腔镜组(A组n19)、胸腔镜辅助小切口组(B组n26)，传统开胸组(C组n21)，对各组多项数据进行回顾性分析比较。结果 A组在手术时间、术中出血量、术后带管时间、住院时间上均少于C组；B组在术后带管时间、住院时间上少于C组。结论 电视胸腔镜外科治疗结核性脓胸，创伤小、疗效好、疗程短，VATS辅助小切口疗效近似VATS。
【关键词】 结核性脓胸; 电视胸腔镜手术; 胸腔镜小切口手术
The role of Video-ssisted thoracic surgery in treatment of tuberculous empyema WANG Jian,WANG Zheng,LIN Shao-lin,YANG Lin,QIAO Kun. Shenzhen People's Hospital,Second Clinical Medical College of Jinan University,Shenzhen 518020, China
【Abstract】 Objective To evaluate the value of video - assisted thoracic surgery (VATS) in the treatment of tuberculous empyema according to the compare with the conventional thoracotomy.Methods From June 2005 to June 2010,Sixty-six patients with tuberculous empyema were treated by VATS ( GroupA,n19)、VATS mini-incision ( GroupB,n26) and conventional therapy( Group C,n21). Postoperative parameters of the three groups were reviewed retrospectively.Results The operational time, blood loss, chest tube drainage and hospitalization in Group A was shorter than those in Group C，chest tube drainage and hospitalization in Group B was shorter than those in Group C ......
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