Curative Effect Analysis Of Thoracoscopic Surgery And Thoracic Drainage In The Treatment Of Acute Empyema

Objective:To compare the efficacy of thoracoscopic surgery and closed thoracic drainage in the treatment of acute empyema,and to provide reference for clinical treatment of acute empyema.Methods:From January 2017 to January 2018,patients with acute empyema hospitalized in the Affiliated Hospital of Jilin Medical University and Affiliated Hospital of Yanbian University were recruited.Among them,48 patients were included in thoracoscopic surgery group(thoracoscopic group)and 48 patients were included in closed thoracic drainage group(drainage group).The thoracoscopic group was treated with thoracoscopic empyema removal,and the drainage group was treated with traditional thoracic drainage.In both groups,the diagnosis of empyema was confirmed after surgery or drainage,and anti-infection treatment was given after surgery.We collected the general data,empyema distribution,time of indwelling chest tube,antibiotic application time,time of postoperative hospitalization,the proportion of chronic empyema and the incidence of complications and other data of the two groups of patients,and the efficacy of the empyema absorption and the clinical symptoms of the patient were observed by imaging to judge its efficacy.Results:1.There was no statistically significant difference in gender,age,and smoking between the two groups.2.The clinical efficacy rate assessed by imaging and clinical symptoms in the thoracoscopic group was significantly higher than that in the drainage group,with statistical significance(P<0.05).3.Compared with the drainage group,thoracoscopic tube indwelling time(13.20 ±3.64 vs.6.36 ± 2.47),time of antibiotic usage(11.30 ± 3.02 vs.6.2 ± 1.05)and postoperative hospitalization time(15.35±4.83 vs.11.27±2.35)were all shortened,with statistical differences(P<0.05),and the proportion of chronic empyema(14.6%and 2.1%)was lower than that of the drainage group,with statistical differences(all P<0.05).4.The incidence rate of complications in thoracoscopic group(81.2%)was not statistically different from that in drainage group(85.4%).Conclusion:Thoracoscopic surgery for acute empyema is superior to simple chest drainage,which is helpful to improve the clinical symptoms and prognosis.It may become an effective surgical method for the treatment of acute empyema.