胸腔置管与隔日胸腔穿刺治疗结核性胸膜炎效果的研究

Study of treatment effect of transcatheter intraplrural therapyand pleural puncture on tuberculosis pleural effusion

目的探讨胸腔置管与隔日胸腔穿刺在治疗结核性胸膜炎效果的差异。方法选择20lO年1月至2011年10月在河北省胸科医院住院治疗的患者127例，随机将患者分为胸腔置管组及胸腔穿刺组，观察两组患者胸水量降至15mm以下（保持2周以上）的时间及患者在治疗过程中是否出现与操作相关的并发症。结果胸腔置管组胸腔积液稳定在15mm以下需（6±2．52）d，而胸腔穿刺组需要（9±1．37）d，两组之间差异有统计学意义（P〈0．05）。胸腔置管组平均退热时间为（5±1.23）d，胸腔穿刺组为（7±1．07）d，两组之间差异有统计学意义（P〈0．05）。两组均未发生严重操作相关并发症。结论胸腔置管及隔日胸腔穿刺两种方法均安全、有效，胸腔置管较隔日胸腔穿刺效果好。

Objective To investgate the difference between transcatheter intraplrural therapy and pleural puncture in the treatment of tuberculosis pleural effusion. Methods 127 cases were chosen from patients who hospitalized in Hebei Chest Hospital from January 20 0 to October 2011. Patients were divided into transcatheter intraplruraI therapy group and pleural puncture group. The number of days when pleural volume of patients was below 15 mm （for more than two weeks） in the two groups and the number of days when fever disappeared, and the complications related to operation were observed. Results There was statistical difference in time when pleural volume was below 15 mm between transcatheter intraplrural therapy group and pleural puncture group （6±2.52） d vs （9±1.37） d, P d0.05 . There was statistical difference in time when fever disappeared between transcatheter intraplrural therapy group and pleural puncture group （5±1.23） d vs （7± 1.07） d, P 〈0.05- . The two groups had no serious complications related to the operation. Conclusions Transcatheter intraplrural therapy and pleural puncture are both safe and effective. The efficacy of transcatheter intraplrural therapy is better than that of pleural puncture.