两种胸膜固定术辅助治疗肺大泡的临床研究

目的：比较胸腔镜下肺大泡切除后机械法和化学法固定胸膜的疗效。方法将48例行胸腔镜下肺大泡切除术患者随机分成2组，每组24例，分别行胸膜剥脱术（A组）和红霉素法（B组）固定胸膜，观察2组手术中出血量、术后止痛剂用量、胸管放置时间、胸管引流量、住院时间及术后并发症情况。结果2组术中出血量比较无显著差异，A组在术后止痛剂用量、胸管放置时间、胸管引流量、住院时间及术后并发症方面优于B组。结论胸腔镜下肺大泡切除术后行胸膜剥脱术固定胸膜，安全有效，围术期效果优于红霉素法固定胸膜。

Clinical research of two kinds of pleurodesis play in adjuvant therapy of pulmonary bullae treatment

Objective To compare the curative effect of mechanical method and chemical method to fix pleura after thoracoscopy bullae resection. Methods After thoracoscopy bullae resection,all cases were randomly divided into two groups, and each group contained 24 cases.Then we fixed pleura through pleural stripped technique （group A） and erythromycin （group B） respectively, and observed the intraoperative blood loss, postoperative analgesic dosage, chest tube placement time, chest tube flow,length of hospital stay and postoperative complications of the two groups. Results There was no significant difference between the two groups, but group A was better than group B on postoperative analgesic dosage, chest tube, chest tube flow,length of hospital stay and postoperative complications. Conclusion It was safe and effective to fix pleura through pleural stripped technique after thoracoscopy bullae resection,and it was better than erythromycin durig the perioperative period.