摘要
目的探讨胸腔镜治疗小儿肺包虫患者的临床疗效。方法回顾性分析2002年1月至2015年12月在新疆维吾尔自治区人民医院收治的96例接受手术治疗的小儿肺包虫患者的临床资料,其中行胸腔镜手术的50例小儿肺包虫患者作为胸腔镜组,行开胸手术的46例小儿肺包虫患者作为开胸组,比较两组患儿的临床效果。结果胸腔镜组患儿术中出血量少于开胸组[(10.16±1.80)mL比(19.31±3.27)mL],术后留管时间少于开胸组[(3.28±0.18)d比(5.16±1.62)d](P<0.05)。胸腔镜组术后并发症发生率低于开胸组[14.0%(7/50)比32.6%(15/46)](P<0.05),但两组患儿术后复发率比较差异无统计学意义(P>0.05)。结论胸腔镜手术是治疗小儿肺包虫病安全可行的方法,但是胸腔镜手术不能完全替代传统开胸手术。
Objective To evaluate the clinical value of video-assisted thoracoscopic surgery（ VATS） in the treatment of pediatric pulmonary hydatid disease. Methods The clinical data of 50 pediatric pulmonary hydatid patients who underwent VATS（ as a VATS group） and 46 pediatric pulmonary hydatid patients who underwent thoracotomy（ as a thoracotomy group） wereretrospectively analyzed in People＇s Hospital of Uygur Autonomous Region between Jan. 2002 and Dec. 2015,the effect of the two groups were compared. Results The amount of intraoperative blood loss of the VATS group was less than that of the thoracotomy group[（ 10. 16 ± 1. 80） mL vs（ 19. 31 ± 3. 27） mL],and the retention time after surgery was less than that of the thoracotomy group[（ 3. 28 ± 0. 18） d vs（ 5. 16 ± 1. 62） d]（ P 0. 01）. Incidence of Postoperative complications of the VATS group was lower than that of the thoracotomy group [14. 0%（ 7/50） vs 32. 6%（ 15/46） ]（ P 0. 05）,but there was no statistically significant difference of postoperative recurrence rate between the two groups（ P 0. 05）. Conclusion VATS is a safe technique for the treatment of pediatric pulmonary hydatid disease,but it still cannot completely replace the traditional thoracotomy.
出处
《医学综述》
2017年第19期3942-3945,共4页
Medical Recapitulate
关键词
肺包虫病
胸腔镜
开胸手术
儿童
Pulmonary hydatid disease
Video-assisted thoracoscopic surgery
Thoracotomy
Children
