摘要
目的探讨结核性胸膜炎在抗痨基础上,在局麻下采用胸腔镜治疗结核性胸膜粘连的方法及疗效。方法局麻下用胸腔镜剥离胸膜粘连带及剥除纤维膜或纤维板,向胸腔内注入0.25%碘伏冲洗胸腔,温盐水冲洗后放置闭式引流管,配合有效抗结核治疗。结果30例中显效占53.3%(16/30),有效占40%(12/30),好转占6.7%(3/30),有效率达93.3%。结论局麻下胸腔镜治疗结核性胸腔积液疗效确切,值得在临床上推广应用。但病程超过2个月的不宜手术治疗。
Objective To study the curative effect of the treatment of tuberculosis pleura adhesion and encapsulation using thoracoscope under regional anesthesia on the basis of antituberculosis drugs. Methods The pleura adhesion was stripped and fibrous membrane or fibrous lamina was divested via thoracoscope under regional anesthesia. 0.25% Iodophors was infused into thoracic cavity for a douche. Closed drainage tube was set after douche with warm Physiological saline and utility antituberculosis drugs were combined. Resuits There were excellence （ n = 16 ）, utility （ n = 12）, improvement （ n = 3 ） in 30 cases. Effective rate was 93.3 %. Conclusion The curative effect of the treatment of tuberculosis pleural effusion using .thoracoscope under regional anesthesia is certain. It is worth spreading and applying clinically. But the cases exceeding 2 months are not suitable for operations.
出处
《临床肺科杂志》
2007年第11期1202-1203,共2页
Journal of Clinical Pulmonary Medicine
基金
陕西省卫生厅科学研究基金(06B07)
关键词
胸腔镜术
结核
胸膜粘连
局麻
thoracoscope
tuberculosis
pleura adhesion
regional anesthesia
