单孔和双孔胸腔镜膜纤维板切除术治疗包裹性胸腔积液的效果

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Abstract Objective To explore the effect of single-port and double-port thoracoscopic fibrostectomy treating of encapsulated pleural effusion. Methods From April 2010 to April 2015, in Yan′an People′s Hospital, the clinical data of 135 patients with encapsulated pleural effusion were retrospectively analyzed, according to the operation method, they were divided into three groups, single-port thoracoscopic fibrostectomy group (single-port group, 45 cases), double-port thoracoscopic fibrostectomy group (double-port group, 53 cases), open-thoracic operation (tradition group, 37 cases). The clinical outcomes and complications of three groups were analyzed and compared. Results The clinical indicators of three groups were compared, single-port group patients had the shortest incision length (F = 8585.958, P = 8585.958), the least intraoperative blood (F = 686.322, P = 0.000), the shortest hospital stay (F = 406.947, P = 0.000), the shortest chest tube drainage (F = 95.563, P = 0.000), the highest score of incision satisfaction score (F = 68.241, P = 0.000), the lowest VAS score of 6 h postoperative pain (F = 90.219, P = 0.000) and he lowest VAS score of 24 h postoperative pain (F = 263.125, P = 0.000). Meanwhile, the incidence of atelectasis (χ2 = 17.667, P = 0.000) and incisional infection rate (χ2 = 13.841, P = 0.001) of the single-port group were significantly lower than the double-port group and traditional group. The postoperative incision pictures showed that two weeks recovery state after the operation of the single-port group were better than the double-port group and the traditional group. Conclusion Compared with double-port thoracoscopy and traditional open-thoracic surgery, single-port thoracoscopic surgery has certain advantages, which can obviously improve the curative effect to treat encapsulated pleural effusion.

Key words： Single-port thoracoscopy Double-port thoracoscopy Traditional open-thoracic operation Encapsulated pleural effusion

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	LI Pengfei1 SHANG Na2 WANG Yanjun1

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LI Pengfei1 SHANG Na2 WANG Yanjun1. Curative effect of single-port and double-port thoracoscopic pleural fiberboard treating encapsulated pleural effusion[J]. 中国医药导报, 2018, 15(10): 79-82.

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http://www.yiyaodaobao.com.cn/EN/ OR http://www.yiyaodaobao.com.cn/EN/Y2018/V15/I10/79

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