微创胸腔闭式引流术在结核性胸腔积液中的应用  

Application of minimally invasive closed thoracic drainage in tuberculous pleural effusion

作　　者：王雅敏[1] 刘娴[1] 胡建英[1] WANG Yamin;LIU Xian;HU Jianying(Hospital of Sichuan Provincial Armed Police Force,Leshan,Sichuan 614000,China)

机构地区：[1]武警四川总队医院,四川乐山614000

出　　处：《现代临床医学》2018年第2期86-88,共3页Journal of Modern Clinical Medicine

摘　　要：目的:探讨微创闭式引流术在治疗结核性胸腔积液中的应用价值。方法:将98例结核性胸腔积液患者分为治疗组和对照组。对照组采用胸腔穿刺术进行胸腔抽液、注药等;治疗组采用微创胸腔闭式引流术,留置深静脉导管于胸腔进行抽液、引流、注药等。比较两组治疗结束时胸腔积液深度、胸腔积液吸收所需时间、完成单次操作的时间及并发症的发生率。结果:治疗组治疗结束时胸腔积液深度、胸腔积液吸收所需时间、完成单次操作的时间及胸膜反应的发生率均低于对照组(P<0.05)。结论:微创闭式引流术对结核性胸腔积液的疗效、安全性均优于胸腔穿刺抽液术,且操作简便,值得推广。Objective:To investigate the application value of minimally invasive closed thoracic drainage in tuberculous pleural effusion.Methods:98 patients with tuberculous pleural effusion were divided into treatment group and control group.The control group underwent thoracentesis for the suction of pleural effusion and drug infusion.The observation group underwent minimally invasive closed thoracic drainage,and the deep venous catheter was retained in thoracic cavity for the suction of pleural effusion,drainage and drug infusion.The deepness of hydrothorax after treatment,the time of hydrothorax absorption,the time required to completing single operation,and complication incidence were compared between the two groups.Results:The treatment group showed lower deepness of hydrothorax after treatment,shorter time of hydrothorax absorption,shorter time required to complete single operation,and lower incidence of pleural reaction than the control group(P<0.05).Conclusion:The therapeutic effect and safety of minimally invasive closed thoracic drainage are superior to thoracentesis for tuberculous pleural effusion.It is easy to operate and worthy of promotion.

关 键 词：胸腔闭式引流 微创 胸腔穿刺 胸腔积液 结核 

分 类 号：R521.7[医药卫生—内科学]