期刊文献+

胸腔镜手术与传统方法治疗急性脓胸的疗效对比分析

Comparison of Thoracoscopic Surgery and Traditional Methods in the Treatment of Acute Empyema
在线阅读 下载PDF
导出
摘要 目的探索胸腔镜手术与传统方法治疗急性脓胸患者的临床疗效.方法选取本院住院部的100例急性脓胸患者,并对100例患者进行动态随机化分为2组,观察组和对照组各有50例患者,对照组采用传统手术治疗,观察组采用胸腔镜手术治疗,结果 观察组患者术后使用抗生素时间(13.51±1.06)d、自主活动时间(13.95±2.84)d、胸腔引流量(224.36±3.95)1111、留置胸管时间(13.89±1.85)(1、住院总耗时(13.69±2.74)(1、手术时间(60.25±1.59)1^11、术中出血量(165.36±4.61)ml显著优于对照组患者(P〈0.05)。结论 胸腔镜手术在急性脓胸患者中效果显著. Objective To investigate the clinical efficacy of thoracoscopic surgery and traditional methods in the treat-ment of acute empyema. Methods A total of 100 patients with acute empyema were randomized into the observation group and control group,50 cases in each group. The control group was treated with routine surgery. The observation group received thoracoscopic surgtry. Results The time of operation, the time of spontaneous activity, the amount of thoracic drainage, the time of retention of the chest, the time of hospitalization, the time of operation and the amount of bleeding in the observation group were significantly better than those in the control group ((13. 51 + 1. 06) d vs (16. 98 + 1. 58) d, (13. 95 + 2. 84) d vs (19. 75±1. 87)d,( 224. 36±3. 95) ml vs (286. 34 ±4. 85) ml,( 13. 89 ± 1 . 85) d vs (16. 58 ± 1 . 75) d,( 13. 69 ±2. 74) d vs (19. 65±2. 48)d, (60. 25± 1. 59) min vs (85. 36 土 2. 47) min, (165. 36 ± 4. 61) ml vs (246. 37 ± 5. 91) ml, all P〈0 . 05) .CowcZwsfow Thoracoscopic surgery has a significant effect in patients with acute empyema.KEYWORDS: Thoracoscopic surgery; traditional method; acute empyema; efficacy(19. 65±2. 48)d, (60. 25± 1. 59) min vs (85. 36 ± 2. 47) min, (165. 36±4. 61) ml vs (246. 37 ± 5. 91) ml, all P〈0 . 05) .Conclusion Thoracoscopic surgery has a significant effect in patients with acute empyema.
出处 《临床研究》 2017年第9期98-100,共3页 Clinical Research
关键词 胸腔镜手术 传统方法 急性脓胸 疗效 Thoracoscopic surgery traditional method acute empyema efficacy
  • 相关文献

参考文献6

二级参考文献36

  • 1方勇,李红,姚岚,王晶晶.胸腔肋间闭式引流治疗慢性结核性脓胸的疗效观察[J].中华临床医师杂志(电子版),2012,6(16):4941-4943. 被引量:5
  • 2戚晓敏,单根法,张辅贤,钟竑,李国庆,李小波,杜奇容.胸腔镜在非结核性脓胸治疗中的应用[J].上海第二医科大学学报,2004,24(5):376-378. 被引量:5
  • 3Lee SF, Lawrence D, Booth H, et al. Thoracic empyema: current opinions in medical and surgical management[J]. Curr Opin Pulm Med, 2010, 16:194-200.
  • 4Rosenstengel A. Pleural infection-current diagnosis and manage- ment[J]. J Thorac Dis, 2012, 4:186 -93.
  • 5Wozniak C J, Paull DE, Moezzi JE, et al. Choice of first interven- tion is related to outcomes in the management of empyema [ J ]. Ann Thorac Surg, 2009, 87:1525 -31.
  • 6Chambers A, Routledge T, Dunning J, et al. Is videoassisted tho- racoscopic surgical decortication superior to open surgery in the management of adults with primary empyema[ J]. Interact Cardio- vasc Thorac Surg, 2010, 11:171-7.
  • 7Tong BC, Hanna J, Toloza EM, et al. Outcomes of videoassisted thoracoscopic decortication[ J ]. Ann Thorac Surg, 2010, 89 : 220 -5.
  • 8Jae HC, Sung HL, Kwang TK, et al. Optima! Timing of Thoraco- scopic Drainage and Decortication for Empyema [ J ]. Ann Thorac Surg, 2014, 97:224-9.
  • 9Rizvi SIA, Waller DA. Empyema thoracis [ J ]. Surgery, 2011, 29:217-20.
  • 10Goldin AB, Parimi C, LaRiviere C, et al. Outcomes associated with type of intervention and timing in complex pediatric empyema [J]. Am J Surg, 2012, 203:665-73.

共引文献11

相关作者

内容加载中请稍等...

相关机构

内容加载中请稍等...

相关主题

内容加载中请稍等...

浏览历史

内容加载中请稍等...
;
使用帮助 返回顶部