A Study of Efficacy and Safety of Different Surgical Procedures in the Treatment of Suppurative Encapsulated Pleural Effusion

Peng Jun; Wang Yun; Luo Yan Li; Li Min Jie

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Peng Jun , Wang Yun , Luo Yan Li , Li Min Jie . A Study of Efficacy and Safety of Different Surgical Procedures in the Treatment of Suppurative Encapsulated Pleural Effusion[J]. Journal of Kunming Medical University, 2018, 39(04): 83-87.

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Peng Jun , Wang Yun , Luo Yan Li , Li Min Jie . A Study of Efficacy and Safety of Different Surgical Procedures in the Treatment of Suppurative Encapsulated Pleural Effusion[J]. Journal of Kunming Medical University, 2018, 39(04): 83-87.

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A Study of Efficacy and Safety of Different Surgical Procedures in the Treatment of Suppurative Encapsulated Pleural Effusion

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基金：四川省攀枝花科技局科研基金资助项目 (2013ZD-S-2);

Received Date: 2017-09-16

Abstract

Abstract

Objective To analyze the efficacy and safety of different surgical procedures in the treatment of suppurative encapsulated pleural effusion. Me thods Sixty-eight patients with suppurative pleural effusion were randomly divided into group A and group B, with 34 cases in each group. The two groups of patients were treated with thoracoscopic small incision thoracoscopic clearance and fibreboard exfoliation. In group A, antibiotics were used to rinse the chest. Group B was placed with lateral venous catheter during operation. Then we used antibacterial agents to irrigate the thoracic cavity. The clinical efficacy, complications, removal time of venous catheters, white blood cell count (WBC) , glutamic acid (Glu) , lactate dehydrogenase (LDH) level, and respiratory function index (FVC, FEV1) in intravenous catheter fluid, pleural thickness, and recurrence rate after oneyear were compared between the two groups.Results The clinical total effective rate of group A was significantly lower than that in group B. Intravenous catheter removal time was significantly longer than that in group B. WBC and Glu after 3 d were significantly higher than those of group B. LDH was significantly lower than that of group B. FVC and FEV1 after the extraction of venous catheter were significantly lower than those in group B. Pleural thickness was higher in group B. The rate of recurrence after one year was higher than that in group B. Conclusion Thoracoscopic small incision thoracic dissection and fibrinectomy and postoperative antibiotics flushing the thoracic cavity can improve the clinical efficacy, but at the same time it increases the economic burden on the patient and should be personalized for clinical use.
- Purulent encapsulated pleural effusion,
- Thoracoscopic small incision,
- Thoracic cleaning,
- Fibreboard stripping,
- Clinical efficacy,
- Safety

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References(14)

References

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