Thoracoscopy in diagnosis and treatment of pleural diseases in children
10.3760/cma.j.issn.0578-1310.2017.09.014
- VernacularTitle: 内科胸腔镜在儿童难治性胸膜疾病诊断及治疗中的价值
- Author:
Min CHEN
1
;
Lili ZHONG
;
Han HUANG
;
Lin LIN
;
Hongying DENG
;
Xiaofang DING
;
Xian HU
Author Information
1. Children′s Medical Center of Hunan Provincial People′s Hospital, Changsha 410009, China
- Publication Type:Clinical Trail
- Keywords:
Thoracoscopes;
Diagnosis;
Pleural diseases;
Child
- From:
Chinese Journal of Pediatrics
2017;55(9):695-699
- CountryChina
- Language:Chinese
-
Abstract:
Objective:To investigate the value of thoracoscopy in diagnosis and treatment of pleural diseases in children.
Method:Clinical manifestations and treatment outcomes of 19 patients who had refractory pleural diseases treated with thoracosocy during May 2011 to August 2016 in Hunan Provincial People′s Hospital were retrospectively analyzed. In 19 cases, 15 were male and 4 were female, with an average age of (4.8±2.0) years. Thirteen patients had left pleural lesion, while 5 patients had right lesion, and 1 had bilateral lesions.
Result:All cases were successfully treated with thoracoscopy without emergent thoracotomy. Pre- and post operative diagnosis was compatible in 10 cases, including 8 cases of empyema (Streptococcus pneumoniae infection in 6 cases, and Staphylococcus Aureus infection in 2 cases), and 2 cases of tuberculous pleuritis. Nine patients who had not been clearly diagnosed before surgery were diagnosed to be empyema (4 case), tuberculous pleuritic (3 cases), mycoplasma infection (1 case), and foreign body with infection (1 case) by thoracoscopy. The average duration of post-op closed thoracic drainage was (4.7±2.3) days. The average time to get normal temperature was (2.4±2.6) days. And the average length of hospital stay was (6.7±1.8) days. No hemothorax, chylothorax, or need for analgesic occurred.
Conclusion:Thoracoscopy can be recommended for diagnosis and treatment of refractory pleural lesions diseases in children, with minimal trauma and complications.
