胸腔闭式引流法治疗结核性脓胸效果分析

Assessment of pleural space drainage plus drug infusion in treatment of tuberculous empyema

目的探讨胸腔闭式引流法治疗结核性脓胸的效果。方法对67例结核性脓胸病人的不同内科治疗方法进行回顾性分析,除抗痨治疗外,脓胸局部处理分为胸腔闭式引流组(A组)27例和胸穿抽液组(B组)40例。结果A组平均治疗5±3次,平均住院时间20±7天,1年内有2例(7.4%)复发再次入院。B组平均治疗7±3次,平均治疗时间28±11天,1年内有11例(27.5%)复发重新入院。A组操作后合并气胸1例(3.7%);B组出现气胸11例(27.5%)。两组各项比较差异有显著性(P<0.05)。结论胸腔闭式引流治疗结核性脓胸有较好的效果,优于胸穿抽液术治疗。

Objective To explore effects of pleural space drainage plus drug infusion in treating tuberculous empyema. Methods A retrospective study was conducted on the total of 67 tuberculous empyema patients. In addition to routine anti-tuberculous treatment, the patients in Group A （ n = 27 ） were given pleural space drainage plus drug infusion and the patients in Group B （ n = 40） were given pleural space irrigation plus drug infusion. Results For Group A and Group B, the average treatment times were, respectively, 5 （ ± 3 ） and 7 （ ± 3 ） , the days for hospital stay were, respectively, 20 （ ± 7 ） and 28 （ ± 11 ） and rehospitalization rates one year after the treatment were, respectively, 7.4%（n=2） and27.5 （n=11）. All the group comparisons were significant （P〈0.05）. Conclusion Pleural space drainage plus drug infusion has better effects in treating tuberculous empyema.