Clinical study of decortication in treatment of senile chronic empyema / 中国医师进修杂志

ABSTRACT

Objective To compare the safety and feasibility of thoracoscope decortication and conventional thoracotomy decortication in treatment of senile chronic empyema.Methods Thirty-two patients with senile chronic empyema were selected,among total there were 10 patients received thoracoscope decortication (thoracoscope group) and 22 patients received conventional thoracotomy decortication (conventional thoracotomy group).The operative time,intraoperative bleeding volume,postoperative total hydrothorax drainage volume,postoperative drainage time,postoperative thoracic rinse time,postoperative length of stay in hospital and postoperative antibiotic application time were compared between 2 groups.Results There was no statistical difference in operative time between 2 groups (P＞ 0.05).The intraoperative bleeding volume,postoperative drainage time,postoperative total hydrothorax drainage volume,postoperative thoracic rinse time,postoperative antibiotic application time,postoperative length of stay in hospital in thoracoscope group were significantly better than those in conventional thoracotomy group [(331.00 ± 84.65)ml vs.(453.18 ±93.47) ml,(8.80 ±2.53) d vs.(11.59 ±3.57) d,(2 357.00 ±649.03) ml vs.(3 166.82 ±613.42) ml,(5.50 ±2.22) d vs.(7.68 ±2.95) d,(7.40 ± 1.65) d vs.(9.45 ±2.58) d,(12.20 ± 3.65) d vs.(15.32 ± 4.04) d],there were statistical differences (P ＜ 0.05).Conclusion Thoracoscope decortication is safe and feasible in treatment of senile chronic empyema.