前言目的探讨胸腔镜在非结核性脓胸治疗中的应用。方法32例脓胸患者经病史、胸片、CT及B超检查或穿刺确诊,在胸腔镜辅助下进行胸膜剥离手术,术后进行随访。结果32例行胸腔镜手术患者中,5例加小切口手术,9例改行常规开胸手术,平均手术时间1。8h,胸腔引流2-21d,引流量300-2000mL。经随访,肺功能恢复良好,无一例脓胸复发,无术后并发症。结论胸腔镜手术治疗纤维素性脓胸可有良好效果,机化初期脓胸用胸腔镜加小切口手术可减少创伤,机化晚期脓胸需行常规开胸手术。
ObjectiveTodiscussapplicationofvideo-assistedthoracoscopicsurgeryinthemanagementofnontu-berculouspleuralempyema.MethodsThirty-twopatientssufferedfromnontuberculouspleuralempyemawerediagnosedbyhistory,X-ray,chestcomputedtomographyandultrasonographyandtreatedbydebridementusingofvideo-assistedthoracoscopic（VATS）.Allpatientswerefollowedup.ResultsAmong32patientstreatedbyvideo-assistedthoracoscopic,5wereaddedthemini-incisionand9wereturnedtooperation...
