摘要
目的比较外科硬质胸腔镜和内科可弯曲胸腔镜在诊断和治疗胸膜疾病时的各自优缺点。方法收集2004年在该院进行治疗的24名胸膜疾病患者的资料,其中内科胸腔镜组(简称为内科组)8人,外科胸腔镜组(简称为外科组)16人,比较两组在确诊率、术后并发症率、手术时间、带胸管时间、住院时间、住院花费和术后复发率各项指标之间的差别。结果外科组的确诊率比内科组稍高(88%VS75%,P=0.4386)。外科组在带胸管时间、住院时间和住院花费等指标上均明显低于内科组,差异有显著性(P<0.05)。术后并发症包括(滑石粉导致的)发热、感染、呼吸衰竭和死亡,但内科组出现的并发症均不严重且顺利康复,外科组出现3例严重并发症(2例死亡,1例呼吸衰竭)。术后随访显示内科组2例患者出现胸水复发,外科组患者没有复发。结论两种胸腔镜检查各有优缺点,应根据患者自身条件选择。一般情况和心肺功能好的胸腔积液患者应首选外科胸腔镜,一般情况和心肺功能差不适于全麻的患者在进行严格筛选后应选择内科胸腔镜。
[Ohjective] To compare the curative effect of flexirigid thoraeoscope （FxT） and video assisted rigid thoraeoscope （VATS） in the treatment of diseases of pleura. [Methods] 24 patients with diseases of pleura were dignosised through either FxT （FxT group, 8 patients） or VATS （VATS group, 16 patients）, comparing the diagnostic rate, complication mortality, postoperative recurrent rate, expense of hospitalization and length of stay in hospital in two groups. [Results] The diagnostic rate is higher in VATS group, but did not achieving statistics difference （75% VS 88%, P =0.4386）. The length of stay in hospital is longer and the expense of hospitalization is higher in FxT group with statistical difference （P 〈0.05）. Postoperative complication include Talc-related fever, infection, respiratory failure and death. Patients treated through FxT had minor complication and recovered smoothly, but three sever complications （2 patients died, 1 patient developed respiratory failure） occurred in VATS group. Two recurrence of pleural effusion occurred in FxT group and none in VATS group. [Conclusion] FxT and VATS each has advantage and disadvantage respectively, VATS is the best choice for patients with good heart and lung function, FxT suit for selected patients with poor heart and lung function, we should choose according patients＇ condition.
出处
《中国内镜杂志》
CSCD
北大核心
2006年第12期1239-1241,1244,共4页
China Journal of Endoscopy
关键词
胸膜疾病
胸腔镜术
疗效
disease of pleura
thoraeoseopy
curative effect
