Abstract: ObjectiveTo investigate the effects of video-assisted minithoracotomy for patients with tuberculous empyema.MethodsFrom May 2011 to January 2016, 94 patients with tuberculous empyema were divided into the observation group which receivedvideo-assisted minithoracotomy and the control group which received the traditional thoracotomy, according to the random number table, with 47 cases for each. It was compared between the two groups in the peri-operative results, pulmonary functions and postoperative complications.ResultsOperation time, intraoperative blood loss, chest tube drainage time, drainage volume, analgesic duration and hospitalization stay of the observation group were significantly lower than that of the control group (P<0.05). There was no significant difference in the forced vital capacity (FVC), first pass lung function (FEV1), maximum expiratory flow rate (PEF) and total lung volume (TLC) between the two groups before operation (P>0.05). But after operation, it was significantly higher of FVC, FEV1, PEF and TLC in the observation group(P<0.05). There were 3 cases (6.38%) of arrhythmia, 1 case (2.13%) of thoracic hemorrhage, 1 case (2.13%) of pulmonary infection in the observation group, with the total incidence rate of 10.64%. In the control group, there were 18 cases (38.30 %)of complications, including arrhythmia of 6(12.77%), thoracic hemorrhage of 3(6.38%), chest lung leakage of 2(4.26%), pulmonary infection of 4(8.51%) and incision infection of 3(6.38%). The difference of total complication rates between the two groups was statistically significant (P<0.05).ConclusionsThe video-assisted minithoracotomy is effective in the treatment of tuberculous empyema, which can significantly shorten operation time and hospitalization stay, improve the lung functions of the patients, with the advantages of less trauma and less complication.
吴毓优，董吴平，王军，高炳玉，刘苏. 胸腔镜辅助小切口手术治疗结核性脓胸的效果研究[J]. 中国现代手术学杂志, 2017, 21(4): 305-308.
WU Yu-you. Effects of Video-Assisted Minithoracotomy for Tuberculous Empyema Patients. Chinese Journal of Modern Operative Surgery, 2017, 21(4): 305-308.
Dalar L, Kosar F, Eryuksel E, et al. Endobronchial Watanabe spigot embolisation in the treatment of bronchopleural fistula due to tuberculous empyema in intensive care unit[J]. Ann Thorac Cardiovasc Surg, 2013,19(2):140-143.|
2017, Vol. 21 
