内科胸腔镜辅助治疗结核性胸腔积液疗效研究  

Curative effect of thoracoscope adjuvant therapy of tuberculosis pleural effusion

作　　者：朱泽浩[1] 王良兴[2] 金涛 刘斌[4] 

机构地区：[1]温州医科大学附属舟山医院,浙江316001 [2]温州医科大学 [3]舟山顾氏骨伤医院 [4]广东省佛山市顺德区第一人民医院

出　　处：《中国地方病防治》2015年第3期225-225,236,共2页Chinese Journal of Control of Endemic Diseases

基　　金：舟山市医学卫生科技计划项目;课题编号2014A15

摘　　要：目的探讨内科胸腔镜辅助治疗结核性胸腔积液临床疗效。方法在常规抗结核、对症支持等综合治疗基础上,试验组行内科胸腔镜辅助治疗,对照组行胸腔闭式引流,观察手术相关指标、术后1个月临床疗效以及不良反应。结果试验组和对照组病例拔管时间、胸膜厚度、肺功能改善(FEV1%、FVC%)差异显著(均P<0.05);两组治疗有效率分别为94.79%和60.44%,差异显著(P<0.05);不良反应发生率分别为6.25%和23.08%,差异显著(P<0.05)。结论内科胸腔镜辅助治疗结核性胸腔积液临床效果理想。Objective To investigate the curative effect of thoracoscope adjuvant therapy of tuberculosis pleural effusion. Methods The cases in experimental group were treated by video- assisted thoracoscope therapy based on comprehensive treatment including conventional anti- tuberculosis and symptomatic support. Cases in control group underwent closed drainage of pleural cavity. Operation indexes,clinical curative effect after operation for 1 months and adverse reactions were observed. Results There were significant differences（ P〈0. 05） between two groups in the extubation time,pleural thickness and lung function improvement（ FEV1% 、FVC%）. The effective rates of two groups reached 94. 79% and 60. 44%（ P〈0. 05）. The incidence of adverse reaction were 6. 25% and 23. 08% which were significantly different（ P〈0. 05）. Conclusion The video- assisted thoracoscopo treatment is effective significantly for tuberculosis pleural effusion.

关 键 词：内科胸腔镜 结核 胸腔积液 疗效 

分 类 号：R52[医药卫生—内科学]