慢性结核性脓胸外科治疗的临床分析

Clinical Analysis of Surgical Treatment of Chronic Tubercular Empyema

目的探讨慢性结核性脓胸外科治疗效果。方法对我院2008年至2012年收治的166例慢性结核性脓胸患者进行外科治疗,随机分成对照组和观察组,每组各83例,对观察组患者采用外科治疗,对对照组患者进行保守治疗,并调查治疗效果。结果观察组患者中有71例(85.54%)完全康复出院,手术过程中无患者死亡;对照组患者中43例(51.81%)康复出院。观察组治疗总有效81例(97.6%),对照组治疗总有效52例(62.65%),差异具有统计学意义(P<0.01)。结论医师应根据慢性结核性脓胸患者的实际情况选择手术方式,对患者尽早进行外科治疗。慢性结核性脓胸患者应用外科治疗效果确切,值得推广。

Objective To study the effect of surgical treatment for chronic tuberculous pyothorax. Methods 166 cases of chronic tuberculous pyothorax patients in our hospital from 2008 to 2012 were randomly divided into control group and observation group, each with 83 cases. The observation group underwent surgical treatment, and the control group got conservative treatment. The treatment efficacy was investigated. Results 71 cases in the observation group recovered fully, accounting for 85.54% of the total, with no death during the process of operation; 43 patients in the control group recovered completely, accounting for 51.81%. The data of the two groups were significantly different （P 〈0.01）. Conclusions Doctors should choose surgical approaches according to the actual situation of patients and carry on surgical treatment as soon as possible. Surgical treatment is effective and applicable for patients with chronic tuberculous pyothorax.