A comparative study of thoracoscopic surgery and closed thoracic drainage in the treatment of stage Ⅰ and Ⅱ empyema
10.3969/j.issn.1673-9701.2024.19.015
- VernacularTitle:胸腔镜手术和胸腔闭式引流术治疗Ⅰ、Ⅱ期脓胸的对比研究
- Author:
Weiwei JIN
1
;
Shiwei FU
Author Information
1. 蚌埠医科大学第一附属医院胸外科,安徽蚌埠 233004
- Keywords:
Empyema;
Thoracoscopic surgery;
Closed thoracic drainage;
Lung volume
- From:
China Modern Doctor
2024;62(19):71-74
- CountryChina
- Language:Chinese
-
Abstract:
Objective To compare the efficacy of thoracoscopic surgery and closed thoracic drainage in the treatment of stage Ⅰand Ⅱ empyema.Methods A retrospective analysis was performed for 62 patients with stage Ⅰ and Ⅱ empyema who were admitted to the Department of Thoracic Surgery of the First Affiliated Hospital of Bengbu Medical University from January 2018 to January 2023,and the patients were divided into drainage group(32 cases)and clearance group(30 cases)according to different types of surgery.The basic perioperative data and lung volume before and after surgery were compared between two groups.Results Both groups of patients successfully completed the operation.The duration of drain use,antibiotic use,fever,leukocyte recovery,albumin recovery and hospital stay in drainage group were significantly longer than those in clearance group(P＜0.05).The total complication rates of new atelectasis,air leakage,hypotension and arrhythmia in clearance group were significantly higher than those in drainage group,and the total complication rates of loculated effusion and persistent pulmonary infection were significantly lower than those in drainage group(P＜0.05).The overall prognosis of patients in clearance group was significantly better than that in drainage group(x2=7.398,P=0.007).One week after operation,the lung volume and the difference between before and after operation in clearance group were significantly higher than those in drainage group(P＜0.05).Conclusion Compared with closed thoracic drainage,thoracoscopic surgery can significantly increase lung volume,improve recruitment,and achieve better recovery and prognosis.
