摘要
目的探讨结核性渗出性胸膜炎经腹腔镜早期干预治疗的临床效果。方法纳入2016年1月—2017年12月期间该院收治的62例结核性渗出性胸膜炎患者为研究对象,采用随机数字表法将其分为治疗组(n=32)与对照组(n=30),对照组行胸腔负压闭式引流术治疗,治疗组行胸腔镜早期干预治疗,观察两组患者经不同治疗方式后的治疗效果。结果治疗组临床总有效率(93.75%)显著高于对照组(70.00%),两组比较,差异有统计学意义(χ~2=5.984,P=0.038),治疗组胸水吸收时间、血沉恢复正常时间、体温恢复正常时间及住院时间均显著短于对照组,两组比较,差异有统计学意义(t=4.948、3.197、9.485、4.926,P=0.000、0.000、0.000、0.000);术前,两组胸水量比较差异无统计学意义(t=0.414,P=0.592),术后治疗组胸水量显著低于对照组,两组比较,差异有统计学意义(t=8.455,P=0.000)。结论胸腔镜早期干预治疗对结核性渗出性胸膜炎患者的临床疗效显著,在显著缩短其术后恢复时间的同时还能明显降低其胸水量。
Objective To investigate the clinical effect of laparoscopic early intervention for tuberculous exudative pleurisy. Methods 62 patients with tuberculous exudative pleurisy who were treated in the hospital from January 2016 to December 2017 were included in the study. They were divided into treatment group （n=32） and control group （n=30） by random number table method, the control group underwent thoracic vacuum closed drainage, and the treatment group underwent thoracoscopy early intervention to observe the therapeutic effect of the two groups after different treatments. Results The total clinical effective rate （93.75%） in the treatment group was significantly higher than that in the control group （70.00%）. There was a statistically significant difference between the two groups （χ^2=5.984, P=0.038）. The pleural fluid absorption time and blood sedimentation returned to normal in the treatment group. Time, body temperature recovery time and hospital stay were significantly shorter than the control group. The difference between the two groups was statistically significant （t=4.948, 3.197, 9.485, 4.926, P=0.000, 0.000, 0.000, 0.000）; preoperatively, there was no significant difference in pleural fluid volume between the two groups （t=0.414, P=0.592）. The volume of pleural fluid in the postoperative group was significantly lower than that in the control group. There was a statistically significant difference between the two groups （t=8.455, P=0.000）. Conclusion The early intervention of thoracoscopic surgery has significant clinical effect on patients with tuberculous exudative pleurisy. It can significantly reduce the postoperative recovery time and significantly reduce the amount of pleural effusion.
作者
闫晓洲
付晓东
赵子明
YA N Xiao-zhou;FU Xiao-dong;ZHAO Zi-rning(Department of Thoracic Surgery,Fourth Division Hospital of Xinjiang Production and Construction Corps,Yining,Xinjiang,835000 China)
出处
《系统医学》
2018年第15期1-3,21,共4页
Systems Medicine
关键词
胸腔镜早期干预
结核性渗出性胸膜炎
临床疗效
Thoracoscopic early intervention
Tuberculous exudative pleurisy
Clinical efficacy
