摘要
目的观察电视胸腔镜(VATS)治疗小儿急性脓胸的疗效。方法对60例(治疗组)急性脓胸小儿行VATS手术,观察手术效果及并发症情况,并与传统常规开胸手术患儿60例(对照组)比较。结果治疗组显效56例,有效3例,总有效率98.33%;无手术及麻醉并发症,无死亡病例。治疗组与对照组比较,在手术时间、术中出血量、胸腔引流量、留置胸管时间、抗生素使用时间及术后住院天数均明显缩短。结论在电视胸腔镜辅助下行脓胸清除术,可以减少创伤,手术时间短,使用抗生素时间短,疗效满意。
Objective To evaluate the effectiveness of VATS.Methods VATS surgeries were done on 60 children（treatment group）,and the effects and complications were observed,compared with 60 children（control group） on conventional thoracic surgeries.Results Effectiveness was observed on 56 children in the treatment group,and among them three cases were remarkable.The total effective rate was 98.33%.There were no surgery and anesthesia complications and no deaths.Compared with the results of control group,the treatment group had significantly short operative time,blood loss,chest tube drainage,chest tube indwelling time,antibiotic use time and postoperative hospital stay.Conclusion Empyema with VATS has the advantages of reduced trauma,shorter operative time,and shorter time of using antibiotics.The results were satisfactory.
出处
《西部医学》
2011年第5期934-936,共3页
Medical Journal of West China
关键词
小儿
急性脓胸
电视胸腔镜手术
Children
Acute empyema
Video-assisted thoracic surgery
