微创胸腔闭式引流术治疗大量结核性胸腔积液

Minimally invasive closed thoracic drainage in treatment of massive tuberculous pleural effusion

目的比较微创胸腔闭式引流术与反复胸腔穿刺术治疗大量结核性胸腔积液的临床疗效。方法将大量结核性胸腔积液100例随机分为治疗组（微创胸腔闭式引流术治疗组）50例，对照组（反复胸腔穿刺术治疗组）50例。比较两纽间胸水吸收所需时间、胸膜肥厚发生例数以及应用激素时间的差异。结果治疗纽较对照纽胸水吸收所需时间短，胸膜肥厚发生例数少，应用激素时间短。两纽相比差异有统计学意义（P〈0．05）。结论微创胸腔闭式引流术治疗大量结核性胸腔积液临床疗效好，并发症少，可减轻患者多次穿刺的痛苦，值得推广应用。

Objective To investigate the difference of the clinical therapeutic efficacy of the minimally invasive thoracic closed drainage and repeated thoracenteses in the massive tuberculosis pleural effusion patients. Methods One hundred cases with the massive tuberculosis pleural effusion were ran- domly divided into the treatment group （minimally invasive closed thoracic drainage, 50 cases） and the control group （repeated thoracenteses, 50 cases）. The differences between the two groups were compared in the time required for absorption of pleural effusion, the incidence of pleural thickening and the application of hormone. Results Compared with the control group, the treatment group shortens the time required for absorption of pleura1 effusion, lowered the incidence of pleural thickening and shortened the application of hormone. Furthermore, there were significant differences between the two groups statistically （ P 〈 0. 05）. Conclusions Minimally invasive closed thoracic drainage for the treatment of massive tuberculous pleural effusion has better efficacy, fewer complications and reduce pain in patients with multi- ple puncture and should be widely applied.