肺结核患者术后胸腔感染采用胸腔镜留置浸洗治疗的临床研究

Clinical effect of thoracoscopic indwelling dip on treatment of tuberculosis patients complicated with chest infections

目的探讨对肺结核术后重症胸腔感染患者采用胸腔镜下胸腔留置浸洗治疗的临床效果,以期提高临床对肺结核术后发生重症胸腔感染患者的诊治水平。方法选取在医院诊治的肺结核术后重症胸腔感染患者42例,随机分为观察组和对照组,各21例,观察组采取胸腔镜下胸腔留置浸洗,对照组采取胸腔镜下胸腔冲洗,比较两组临床效果。结果治疗总有效率观察组为100.00%、对照组为90.48%,观察组总有效率高于对照组,差异有统计学意义(P<0.05);观察组及对照组平均治愈时间(30.15±3.91)d及(75.76±4.19)d,平均住院时间(33.81±3.11)d及(78.93±4.31)d,观察组平均治愈时间和平均住院时间明显短于对照组,差异有统计学意义(P<0.05);观察组中不伴有支气管胸膜瘘患者及伴有支气管胸膜瘘患者平均治愈时间(26.15±1.87)d及(32.15±1.99)d,平均住院时间(30.37±1.01)d及(36.09±1.21)d,不伴有支气管胸膜瘘患者平均治愈时间及平均住院时间明显短于伴有支气管胸膜瘘患者,差异有统计学意义(P<0.05)。结论对肺结核术后重症胸腔感染患者采取胸腔镜下胸腔留置浸洗治疗的效果显著,可有效缩短治愈时间及住院时间,减少患者经济负担。

OBJECTIVE To observe the clinical effect of thoracoscopic indwelling dip on treatment of tuberculosis patients complicated with severe chest infections so as to improve the level of clinical treatment of the tuberculosis patients complicated with severe chest infections. METHODS A total of 42 tuberculosis patients complicated with postoperative severe chest infections were enrolled in the study and randomly divided into the observation group and the control group, with 21 cases in each; the observation group was treated with thoracoscopic indwelling pleural dip, and the control group was given the thoracoscopic pleural lavage; the clinical effect was compared between the two groups. RESULTS The total effective rate of treatment was 100.00% in the observation group, significantly higher than 90.48% in the control group（P〈0.05）. The average cure time was （30.15 ±3.91） days in the observation group, significantly shorter than （75.76±4.19）days in the control group;the average hospitaliza- tion duration was （33.81±3. 11）days in the observation group, significantly shorter than （78.93±4.31）days in the control group（P〈0.05）. In the observation group, the average cure time of the patients without complication of bronchopleural fistula was （26.15±1.87） days, significantly shorter than （32.15±1.99）days of the patients with complication of bronchopleural fistula; the average hospitalization duration of the patients without complica- tion of bronchopleural fistula was （30.37±1.01 ） days, significantly shorter than （36.09 ±1.21 ） days of the patients with complication of bronchopleural fistula（P〈0.05）. CONCLUSION The thoracoscopic indwelling pleural dip can achieve significant clinical effect on treatment of the tuberculosis patients complicated with severe postoperative chest infections, effectively shorten the cure time as well as the hospitalization duration, and alleviate the financial burden of the patients.