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目的探讨电视胸腔镜手术或胸腔镜辅助小切口处理儿童急性脓胸纤维板形成的手术时机、手术方法和治疗效果。方法 92例儿童急性脓胸患者,均采用电视胸腔镜或辅助小切口下完成脓液清除和纤维板剥脱。结果 92例均治愈,术后1周胸部CT检查肺膨胀满意,27例胸廓塌陷畸形轻者完全矫正,3例严重畸形者,出院后随访发现,2个月后完全矫正。结论电视胸腔镜治疗儿童急性脓胸应尽早手术为原则,手术时间应选在发病1～3周以内。胸腔镜剥脱纤维板效果确切,创伤小,预后满意。
Objective To discuss the operation timing, operation method and therapeutic effect of video-assisted thoracoscopic surgery or thoracoscope-assisted small incision in the treatment of acute empyema fibrosis in children. Methods A total of 92 children with acute empyema were treated with video-assisted thoracoscopy or assisted small incision to complete pus removal and fibrin exfoliation. Results All the 92 cases were cured. Thoracic CT examination showed satisfactory lung expansion at 1 week after operation. Twenty-seven patients with mild thoracic collapse were corrected completely. Three patients with severe deformity were found after follow-up after discharge and completely corrected after 2 months. Conclusion Video thoracoscopic treatment of children with acute empyema should be as soon as possible the principle of surgery, surgery time should be selected within 1 to 3 weeks of onset. Thoracoscopic stripping fibreboard effect is exact, small trauma, the prognosis is satisfactory.