胸腔镜在结核性胸膜炎诊治中的临床分析  

Application of thoracoscopy in the diagnosis and treatment of tuberculous pleurisy

作　　者：韩丰立 李王平[2] 李春梅[2] 

机构地区：[1]陕西省第四人民医院呼吸内科,陕西西安710043 [2]第四军医大学唐都医院呼吸内科,陕西西安710038

出　　处：《临床肺科杂志》2014年第5期845-847,共3页Journal of Clinical Pulmonary Medicine

基　　金：陕西省攻关项目(No:2010K16-04-08)

摘　　要：目的探讨胸腔镜在结核性胸膜炎诊治中的临床价值。方法分别采取胸腔镜加胸腔闭式引流术(治疗组)以及闭式胸膜活检术加胸腔穿刺(对照组)进行诊断及治疗的结核性胸膜炎患者各30例,分析两组诊疗方案对结核性胸膜炎的诊治效果。结果治疗组与对照组在诊断阳性率上虽有差异,但差异无统计学意义;P>0.05;治疗组住院日为(5.4±1.0)d,对照组住院日为(8.1±2.7)d,两组住院日,P<0.01。结论采取胸腔镜诊治结核性胸膜炎较传统的诊治方法更为有效。Objective To discuss the clinical value of thoracoscopy in the diagnosis and treatment of tuberculous pleurisy.Methods The treatment group was given thoracoscopy plus closed thoracostomy,and the control group was given pleural biopsy plus thoracocentesis.Their curative effect was analyzed.Results There was no statistically significant different in the diagnostic positve rate between the treatment group and the control group （x2 =1.298,P ＞ 0.05）.The duration of hospital stay was 5.4 ± 1.0 days in the treatment groupand 8.1 ± 2.7 days in the control group,with siginificant difference （P ＜ 0.01）.Conclusion Thoracoscopy treatment is more effective than traditional treatment method in the diagnosis and treatment of tuberculous pleurisy.

关 键 词：结核性胸膜炎 胸腔镜 胸膜活检术 

分 类 号：R521.7[医药卫生—内科学]