tailieunhanh - Nghiên cứu vai trò của nội soi lồng ngực trong điều trị phối hợp các di chứng tràn dịch màng phổi do lao tại Bệnh viện Phổi Trung ương trong 3 năm (1/2020 - 01/2023)

Nội soi lồng ngực được chỉ định phối hợp trong điều trị một số di chứng của tràn dịch màng phổi do lao cho kết quả tốt. Bài viết trình bày mô tả một số đặc điểm lâm sàng, X-quang và kết quả sớm của nội soi lồng ngực phối hợp trong điều trị các di chứng của tràn dịch màng phổi do lao. | Vietnam Journal of Community Medicine Vol. 65 Special Issue 3 108-113 CHUYÊN ĐỀ LAO THORACOSCOPIC INTERVENTION IN COMBINED TREATMENT OF TUBERCULOUS PLEURITIS SEQUELAE AT NATIONAL LUNG HOSPITAL IN 3 YEARS 1 2020 - 01 2023 Vu Do Nguyen Duc Tuyen Vu Quy Duong National Lung Hospital - No. 463 Hoang Hoa Tham Street Ba Dinh District Hanoi Vietnam Received 24 02 2024 Revised 23 03 2024 Accepted 12 04 2024 ABSTRACT Introduction Combining thoracoscopic endoscopy in the treatment of selected complications of tuberculous pleural effusion yields favorable outcomes. Objective To describe some clinical characteristics chest X-ray findings and early outcomes of combined thoracoscopic endoscopy in the treatment of complications of tuberculous pleural effusion. Method A study of 138 patients aged gt 15 years with tuberculous pleural effusion complications treated with combined thoracoscopic endoscopy at the National Lung Hospital from January 2020 to January 2023. Results In the study group Male 91 3 Female 8 7 . The most common indication was pleural effusion loculated with thickened and adherent pleura in 114 patients 82 6 . Of these 99 patients 71 7 underwent closed thoracoscopic surgery while 39 patients 28 3 underwent small thoracotomy VATS for support. Complications occurred in 6 patients 4 4 with no deaths after endoscopic intervention. The average postoperative drainage removal time was 5 4 3 5 days. Surgical outcomes showed that 128 patients 92 8 had complete resolution of effusion and full lung expansion while 10 patients 7 2 had resolved effusion with mild pleural thickening. Conclusion Combined thoracoscopic endoscopy in the treatment of complications of tuberculous pleural effusion is a relatively safe method with a low complication rate and favorable outcomes. Keywords Complication tuberculosis pleural effusion thoracoscopy. Corresponding author Email address Drvudo@ Phone number 84 943505368 https 108 et al. Vietnam .