结核性胸腔积液两种引流方法的比较

Comparison of Two Drainage Methods of Tuberculous Pleural Effusion

目的观察胸腔置管引流术与间断性胸水穿刺术两种方法治疗结核性胸腔积液的疗效。方法大量结核性胸腔积液患者48例,随机分为胸腔置管引流术治疗组24例和间断性胸水穿刺术组24例,比较并发症发生率及其疗效。结果胸腔置管引流术组有效率明显高于胸腔穿刺术组;胸腔置管引流术组胸水吸收较快、并发症较少,二者有显著统计学意义(P<0.05)。结论胸腔置管引流术治疗结核性胸腔积液并发症少,住院治疗时间短,是比较理想的辅助治疗方法。

Objective： To observe the treatment of tuberculous pleural effusion with the chest tube drainage and intermittent pleural effusion puncture. Method： 48 cases of patients with tuberculous pleural effusion were randomly divided into the chest tube drainage in the treatment group 24 cases and intermittent pleural effusion puncture surgery group 24 cases to compare the incidence of complications and its efficacy. Result： The efficacy of chest tube drainage group was significantly higher than thoracentesis group; chest tube drainage group pleural fluid absorbed quickly with fewer complications; both are statistically significant （P〈0.05）. Conclusion： chest catheter drainage in the treatment of tuberculous pleural effusion will cause fewer complications, shorter hospitalization, which is an ideal adjuvant therapy.