电视胸腔镜与开胸手术治疗早期结核性包裹性胸膜炎的病例对照分析(1)
[摘要] 目的 研究電视胸腔镜与开胸手术治疗早期结核性包裹性胸膜炎的效果。 方法 随机选取2016年1月—2017年9月该院收治的100例早期结核性包裹性胸膜炎患者作为研究对象，按照治疗方式的不同，将患者分成观察组(n=50)和对照组(n=50)，观察组采用电视胸腔镜进行治疗，对照组采用开胸手术进行治疗，对比分析两组患者的手术情况、治疗效果和并发症发生情况。 结果 两组患者在住院时间和带管时间方面差异无统计学意义(P>0.05);观察组患者的手术出血量为(158.4±72.3)mL、手术时间为(102.4±26.2)min、疼痛评分为(2.8±1.7)分; 对照组患者的手术出血量为(257.1±90.7)mL、手术时间(126.7±36.8)min、疼痛评分为(5.2±2.3)分，观察组患者上述3项指标均低于对照组，差异有统计学意义(P<0.05);观察组的血沉均数、 FEV1均值、FVC均值、MVV均值明显优于对照组，差异有统计学意义(P<0.05);观察组的并发症发生率(12%)低于对照组，差异有统计学意义(P<0.05)。 结论 电视胸腔镜对于早期结核性包裹性胸膜炎有着更好的治疗效果，值得应用。
[关键词] 电视胸腔镜;开胸手术;早期结核性包裹性胸膜炎
[中图分类号] R655 [文献标识码] A [文章编号] 1674-0742(2018)08(c)-0105-03
Analysis of Video-assisted Thoracoscopic Surgery and Thoracotomy for the Treatment of Early Cases of Tuberculous Encapsulated Pleurisy
CHEN Hua-zhuan
Department of Surgery， Heze Infectious Disease Hospital， Heze， Shandong Province， 274000 China
[Abstract] Objective To study the effect of video-assisted thoracoscopic surgery and thoracotomy on early tuberculous encapsulated pleurisy. Methods A total of 100 patients with early tuberculous encapsulated pleurisy treated in the hospital from January 2016 to September 2017 were random selected as subjects. According to different treatment methods， the patients were divided into observation group and control group. The observation group was performed with video-assisted thoracoscopy treatment， thoracotomy was performed in the control group， and the operation conditions， treatment effects， and complications of the two groups were analyzed and compared. Results There was no statistically significant difference in length of stay between the two groups of patients (P>0.05). The patients in the observation group had a hemorrhage of (158.4±72.3) mL， an operation time of (102.4±26.2) min， and pain score was (2.8±1.7) points; the control group had a hemorrhage volume of(257.1±90.7)mL， an operation time (126.7±36.8) min， and a pain score of (5.2±2.3) points. The above three indicators were observed in the observation group. All of them were lower than the control group，the difference was statistically significant(P<0.05). The mean ESR， FEV1， FVC， and MVV were significantly better in the observation group than in the control group，the difference was statistically significant(P<0.05). The complication rate in the observation group (12%) was lower than that in the control group，the difference was statistically significant(P<0.05). Conclusion Video-assisted thoracoscopy has better therapeutic effect on early tuberculous encapsulated pleurisy and is worthy of application., http://www.100md.com(陈化专)
[关键词] 电视胸腔镜;开胸手术;早期结核性包裹性胸膜炎
[中图分类号] R655 [文献标识码] A [文章编号] 1674-0742(2018)08(c)-0105-03
Analysis of Video-assisted Thoracoscopic Surgery and Thoracotomy for the Treatment of Early Cases of Tuberculous Encapsulated Pleurisy
CHEN Hua-zhuan
Department of Surgery， Heze Infectious Disease Hospital， Heze， Shandong Province， 274000 China
[Abstract] Objective To study the effect of video-assisted thoracoscopic surgery and thoracotomy on early tuberculous encapsulated pleurisy. Methods A total of 100 patients with early tuberculous encapsulated pleurisy treated in the hospital from January 2016 to September 2017 were random selected as subjects. According to different treatment methods， the patients were divided into observation group and control group. The observation group was performed with video-assisted thoracoscopy treatment， thoracotomy was performed in the control group， and the operation conditions， treatment effects， and complications of the two groups were analyzed and compared. Results There was no statistically significant difference in length of stay between the two groups of patients (P>0.05). The patients in the observation group had a hemorrhage of (158.4±72.3) mL， an operation time of (102.4±26.2) min， and pain score was (2.8±1.7) points; the control group had a hemorrhage volume of(257.1±90.7)mL， an operation time (126.7±36.8) min， and a pain score of (5.2±2.3) points. The above three indicators were observed in the observation group. All of them were lower than the control group，the difference was statistically significant(P<0.05). The mean ESR， FEV1， FVC， and MVV were significantly better in the observation group than in the control group，the difference was statistically significant(P<0.05). The complication rate in the observation group (12%) was lower than that in the control group，the difference was statistically significant(P<0.05). Conclusion Video-assisted thoracoscopy has better therapeutic effect on early tuberculous encapsulated pleurisy and is worthy of application., http://www.100md.com(陈化专)