| 陈浩,徐宁.电视胸腔镜在慢性结核性脓胸术中的应用[J].安徽医药,2017,21(1):100-102. |
| 电视胸腔镜在慢性结核性脓胸术中的应用 |
| Application of video-assisted thoracic surgery in the treatment of chronic tuberculous empyema |
| 投稿时间：2016-07-20 |
| DOI： |
| 中文关键词: 结核性脓胸 电视胸腔镜 疗效 |
| 英文关键词: Tuberculous empyema Video-assisted thoracic surgery Efficacy |
| 基金项目:安徽省卫生和计划生育委员会科研计划项目(15tb009)电视胸腔镜在慢性结核性脓胸术中的应用陈浩,徐宁 (安徽省胸科医院胸外科,安徽 合肥 230022)电视胸腔镜在慢性结核性脓胸术中的应用 陈浩,徐宁 Application of video-assisted thoracic surgery in the treatment of chronic tuberculous empyema CHEN Hao,XU Ning |
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| 中文摘要: |
| 目的 探讨电视胸腔镜在慢性结核性脓胸中的应用效果。方法 慢性结核性脓胸40例病人,随机数字表法均分为开胸手术组和胸腔镜手术组,比较两组病人的近期和远期疗效。结果 与开胸手术组相比较,胸腔镜手术组病人的术中出血量,术后引流量、拔管时间、哌替啶用量和住院时间均显著下降,两组病人的手术时间差异无统计学意义。随访1年,疾病的复发率以及肺功能的恢复情况均差异无统计学意义。结论 电视胸腔镜对于慢性结核性脓胸的疗效确切,且创伤小,疗程短,有利于病人的康复。 |
| 英文摘要: |
| Objective To investigate the effect of video-assisted thoracic surgery in the treatment of chronic tuberculous empyema. Methods A total of 40 hospitalized patients with chronic tuberculous empyema were randomly divided into conventional surgery group and video-assisted surgery group.The short and long term effects were compared between two groups. Results Compared with conventional surgery group,the intraoperative blood loss,postoperative drainage flow,postoperative extubation time,postoperative Pethidine consumption and postoperative hospital stay in video-assisted surgery group were decreased significantly.There was no statistical difference in operative time between two groups.After 1-year follow-up,there were no statistical differences in the recurrence rate as well as the lung function recovery between two groups. Conclusion The video-assisted thoracic surgery has exact efficacy in the treatment of chronic tuberculous empyema.The small trauma and short course of treatment for this surgery is conducive for the rehabilitation of patients. |
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