外科手术治疗慢性结核性脓胸的效果评价

Effect evaluation of surgical in the treatment of chronic tuberculous empyema

目的:探讨外科手术治疗慢性结核性脓胸的临床疗效。方法:收治慢性结核性脓胸患者80例,随机分为两组。对照组给予胸廓成形术治疗,观察组给予改良式胸膜剥脱术治疗,比较两组临床疗效。结果:观察组临床总有效率95.00%,显著高于对照组的77.50%(P<0.05),观察组手术时间、术中出血量、手术费用、留置胸腔引流管时间均优于对照组(P<0.05)。观察组不良反应发生率低于对照组(P<0.05)。结论:慢性结核性脓胸采用改良式胸膜剥脱术治疗临床效果显著,不良反应小。

Objective:To investigate the clinical effect of surgical in the treatment of chronic tuberculous empyema.Methods:80cases of patients with chronic tuberculous empyema were divided into two groups randomly.The control group was giventhoracoplasty.The observation group was treated with improved decortications.The clinical effect of the two groups was compared.Results:The total effective rate of the observation group was 95.00%,which was higher than 77.50% of the control group(P<0.05).The operation time,blood loss,operation cost and the time of chest tube drainage in the observation group were superior to those inthe control group(P<0.05).The incidence of adverse reactions in the observation group was lower than that of the controlgroup(P<0.05).Conclusion:Improved decortication in the treatment of chronic tuberculous empyema had significant clinicaleffect and few adverse reactions.