Abstract: Objective  To analyze the efficacy of surgical lobar fissure free in the chronic empyema by using stripped pleural fibreboard. Methods  Ninety-two patients with chronic empyma, who admitted in Jiangxi Chest Hospital, were randomly divided into experimental group and control group by 46 cases each. Each group was treated with stripped pleural fibreboard, meanwhile in the experimental group additional using surgical lobar fissure free. We analyzed the two groups’ operative duration, blood loss, drainage quantity after 24 h postoperatively, intubation time, postoperative length of stay and pulmonary function. Results  The experimental group and control group’s operative time were (148.52±45.38) min and (142.97±47.61)min, blood loss were (372.41±241.89)ml and (333.35±301.19)ml,drainage quantity after 24 h postoperatively were (252.10±120.18)ml and (260.58±111.48)ml, intubation time were (4.51±4.01) d and (4.34±7.53) d, postoperative length of stay were (14.58±3.90) d and (15.28±6.35) d, respectively. There was no statistically difference between the two groups. And the experimental group’s lung function improved significantly, including vital capacity and maximal voluntary ventilation both increased remarkably compared with the control group (P<0.05). Conclusion  Surgical lobar fissure free for the chronic empyema by using stripped pleural has no effect on the operative duration, blood loss,drainage guantity after 24 h postoperatively, intubation time, postoperative length of stay, and it could improved the patients’ lung function remarkably, it’s worth to be recommended widely.

Key words: Empyema, tuberculous/surgery, Empyema, pleural, Treatment outcome