两种不同方法对结核性胸腔积液的诊疗观察  

Two different methods of observation in the diagnosis and treatment of tuberculous pleural effusion

作　　者：郑小虎[1] 陈力舟[1] 陈晓红[1] 李学玲[1] 翁丽珍[1] 

机构地区：[1]福州肺科医院,福建医科大学临床教学医院,福建福州350008

出　　处：《临床肺科杂志》2013年第3期429-430,共2页Journal of Clinical Pulmonary Medicine

摘　　要：目的研究胸腔镜联合胸腔闭式引流结合的方法与传统胸腔穿刺抽液联合胸膜活检对大量结核性胸腔积液的临床诊疗效果。方法抽取100例大量结核性胸腔积液病例,将其分为A、B两组,每组50例。分别采用反复胸腔穿刺抽液联合胸膜活检(A组)与胸腔镜联合胸腔闭式引流(B组)联合的方法进行处理。结果 B组患者的诊断率及临床好转率明显高于A组。经过治疗后的体温恢复正常和胸水控制所需的时间明显短于A组;治疗过程中的实际胸水抽放量明显多于A组;胸膜粘连包裹发生率及胸膜增厚发生率明显低于A组;结论胸腔镜与胸腔闭式引流结合的方法对胸腔积液的诊治是简单、快速、有效、安全。Objective To study the clinical diagnosis and treatment effects of thoracoscopy associated with closed thoracic drain- age, as well as traditional pleural puncture fluid associated with pleural biopsy to a large amount of tuberculous pleural effusion. Method 100 patients with tuberculous pleural effusion were randomly and evenly divided into two groups. The group A were given thoracoscopy associated with closed thoracic drainage and the group B were given traditional pleural puncture fluid associated with pleural biopsy. Re- suits The diagnosis rate and the rate of clinical improvement of Group B were apparently higher than Group A. The time that patients~ body temperature returned to normal and pleural effusion was controlled in Group A was apparently shorter than the time in Group B. The incidence of pleural adhesions got wrapped and pleural thickening was apparently lower than that in Group B. Conclusion The treatment effects of thoracoscopy associated with closed thoracic drainage is simple, fast, effective, and safe for pleural effusion.

关 键 词：胸腔镜 胸腔闭式引流 胸腔穿刺术 胸膜活检 结核性胸腔积液 

分 类 号：R521.7[医药卫生—内科学]