摘要
目的探讨胸腔镜在脓胸治疗中的价值。方法 2002年1月至2011年11月对98例确诊脓胸在胸腔镜下清理和刮除脓苔,剥离纤维膜;对病程稍长,纤维粘连不易剥离者,胸腔镜辅助下小切口,术后彻底冲洗脓腔。结果 71例胸腔镜手术,18例辅助小切口手术,9例中转开胸手术。手术时间50～180min,平均80min;胸腔引流3～35d,平均12d。出院前胸片复查肺复张良好,无脓胸复发及并发症。结论胸腔镜手术或辅助小切口手术治疗脓胸安全、有效、微创。能达到清除病因、闭合脓腔、恢复肺功能的目的 ,特别是对病程较长、心肺功能差的患者尤为适合。
Objective To study the video assisted thoracoscopic surgery（VATS） in the treatment of empyema.Methods Between January 2002 and November 2011,98 empyema patients underwent operative removal of mosses or decortication of pleurae by using VATS.For longer course of disease or pleural tight adhesion cases,we adopt video-assisted minithoracotomy（VAMT）,washing pleural cavity thoroughly after operation.Results Seventy-one patients were operated by VATS completely,18 patients by VAMT,9 patients needed thoracotomy.The operation time was 50-180 min（average 80 min）,the duration for chest drainage was 3-35 d（average 12 d）,Chest radiograph reveals that the lung expand performed well,no empyema recurrence after operation.Conclusions Video assisted thoracoscopic surgery or video-assisted minithoracotomy is safety,effective,micro-invasive therapy for empyema,because it can lesion clearance,close residual cavity,and recovery pulmonary function.It is especially suitable for long course of disease and cardiopulmonary functional insufficiency patients.
出处
《中华腔镜外科杂志（电子版）》
2012年第2期24-26,共3页
Chinese Journal of Laparoscopic Surgery(Electronic Edition)
关键词
电视胸腔镜
脓胸
Video-assisted thoracis surgery
Empyema
