摘要
目的探讨胸腔镜治疗小儿脓胸的临床疗效。方法回顾性分析2013至2018年小儿脓胸病例,选择采用传统开胸手术治疗的92例小儿脓胸做为对照组,采用胸腔镜微创技术治疗的88例小儿脓胸作为观察组。结果2组体温、WBC、C-反应蛋白差异无统计学意义(P>0.05)。2组术中出血量、手术时间、胸腔闭式引流管留置时间、住院天数比较,差异均有统计学意义(P<0.05)。2组手术方式在术后改善肺复张方面,差异无统计学意义(P>0.05)。结论胸腔镜与开胸手术相比治疗小儿脓胸手术视野暴露良好,出血少,创伤小,恢复快,安全有效。
Objective To investigate the therapeutic effects of thoracoscopic minimally invasive therapy on empyema in children.Methods A retrospective analysis was performed in children patients with empyema who were treated in our hospital from 2013 to 2018.Ninety-two patients with empyema who were treated by traditional thoracotomy were enrolled as control group,and the other 88 patients with empyema who were treated by minimally invasive thoracoscopic technique were enrolled as observation group.Results There were no significant differences in body temperature,WBC and C-reactive protein between the two groups(P>0.05).There were significant differences in intraoperative blood loss,duration of operation,indwelling time of closed thoracic drainage tube,and length of hospitalization between the two groups(P<0.05).There was no statistically significant difference in terms of improving postoperative lung recruitment between the two groups(P>0.05).Conclusion As compared with thoracotomy,the thoracoscopy has various advantages in treatment of empyema of children patients,including good exposure of the surgical field,less bleeding,less trauma,faster recovery,and good safety and efficacy profile.
作者
岳芳
杨志国
杨帆
刘艳芳
陈志国
高飞飞
赵令
魏优蕾
陈再利
贾振雷
YUE Fang;YANG Zhiguo;YANG Fan(Department of Thoracic Surgery,Hebei Provimcial Children’s Hospital,Hebei, Shijiazhuang 050031,China)
出处
《河北医药》
CAS
2020年第11期1624-1628,共5页
Hebei Medical Journal
关键词
胸腔镜
开胸
治疗
小儿
脓胸
thoracoscopy
thoracotomy
treatmen
pediatric empyema
