内科胸腔镜下冷冻联合高频电刀技术治疗结核性包裹性胸腔积液临床疗效

发布时间：2018-05-04 22:20

本文选题：结核性胸膜炎 + 包裹性胸腔积液　；参考：《重庆医学》2017年30期

【摘要】：目的探讨内科胸腔镜下冷冻联合高频电刀技术治疗结核性包裹性胸腔积液的临床疗效。方法选取2015年6月至2016年6月该院诊断为结核性包裹性胸腔积液患者38例,根据是否采用胸腔镜介入治疗分为两组,介入组(n=20例)内科胸腔镜下冷冻联合高频电刀技术治疗;对照组(n=18例)胸腔置管胸腔积液引流术并注入尿激酶治疗。两组在术后均给予抗结核治疗。结果介入组胸腔分隔、粘连显著减少,胸膜肥厚减轻,胸腔导管留置时间和住院时间缩短,且住院费用无明显增加,较对照组差异均有统计学意义(P0.05)。在术后2个月随访发现介入组患者第1秒用力呼气容积占预计值百分比(FEV1%)和用力肺活量占预计值百分比(FVC%)较对照组显著增加,差异有统计学意义(P0.01)。结论内科胸腔镜下冷冻联合高频电刀技术治疗结核性包裹性胸腔积液有显著的临床疗效。
[Abstract]:Objective to investigate the clinical effect of cryotherapy combined with high frequency electric knife in the treatment of tuberculous encapsulated pleural effusion. Methods from June 2015 to June 2016, 38 patients with tuberculous encapsulated pleural effusion were selected and divided into two groups according to whether or not they were treated by thoracoscopic interventional therapy. The control group (n = 18) were treated by drainage of pleural effusion and injection of urokinase. Both groups were treated with anti-tuberculosis after operation. Results in the interventional group, the thoracic cavity septum, adhesion and pleural hypertrophy were significantly reduced, the time and hospitalization time of thoracic catheter catheterization were shortened, and the hospitalization cost was not significantly increased, which was significantly different from that of the control group (P 0.05). Two months after operation, it was found that forced expiratory volume (FEV1) and forced vital capacity (FVC5) in the interventional group were significantly higher than those in the control group (P 0.01). Conclusion the treatment of tuberculous encapsulated pleural effusion with cryopreservation and high frequency electric knife under thoracoscopy is effective.
【作者单位】：贵州省遵义市第一人民医院呼吸科;
【基金】：贵州省遵义市科技计划基金资助项目(遵市科合社字[2013]022号)
【分类号】：R521.7

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