胸腔镜在包裹性胸腔积液中的应用价值

Application Value of Thoracoscopy Encapsulated in Pleural Effusions

目的：探讨包裹性胸腔积液治疗中胸腔镜的应用价值。方法：选取我院2014年1月～2015年10月收治的包裹性胸腔积液患者102例，按照数字随机分组法分为两组，对照组（51例）实施常规胸腔穿刺抽水，观察组（51例）于胸腔镜下治疗，比较两组患者的症状改善时间与治疗效果。结果：（1）观察组的胸闷消失时间、胸水消失时间、发热消退时间短于对照组，对比存在统计学意义（P＜0.05）。（2）观察组总有效率为98．04%（50/51），对照组总有效率为76．47%（39/51），观察组临床疗效显著优于对照组，对比有统计学意义（P＜0.05）。结论：胸腔镜与支气管镜在包裹性胸腔积液的治疗中均能够起到重要作用，有利于了解患者的具体病情，为疾病治疗提供依据。

Objective: To evaluate the value of the parcel pleural effusion treatment thoracoscopy.Methods:102 cases of encapsulated pleural effusion were admitted to our hospital,treated for the time from January 2014 to October 2015.The patients were randomized according to figures divided into two groups,the control group(51 cases)implementation of the conventional pleural aspiration pumping in the observation group(51 cases)in thoracoscopic treatment,the symptoms were compared with time to improve the therapeutic effect.Results:(1)Chest disappearance time observation group,pleural effusion disappearance time of fever subsided a short time in the control group,compared to the presence of statistically significant(P<0.05).(2)The total effective rate was 98.04% in the control group,the total effective rate was 76.47%,The clinical observation group was significantly better than the control group,comparison was statistically significant(P<0.05).Conclusion:Thoracoscopic and bronchoscopy are able to play an important role in the parcel pleural effusion treatment,help us to understand the specific condition of the patient,provide the basis for the treatment of diseases,worthy of clinical application.