小切口开胸病灶清除术治疗空洞型肺结核和肺结核球

目的 探讨空洞型肺结核和肺结核球采用小切口开胸病灶清除术治疗的临床疗效.方法 58例空洞型肺结核和肺结核球患者按数字表法随机分为观察组（29例,常规抗痨基础上加以小切口开胸病灶清除术）和对照组（29例,常规抗痨药治疗）,观察两组痰液细菌培养转阴情况、X线观察空洞闭合情况及临床症状的变化情况.结果 痰菌培养情况：观察组有27例痰培养转阴（93.10%）,对照组有18例痰培养转阴（62.07%）;空洞闭合情况：观察组有19例空洞闭合（65.52%）,对照组有8例空洞闭合（27.59%）;临床症状改善情况：观察组有效28例（96.55%）,对照组有效20例（68.97%）;观察组痰菌阴转情况、空洞闭合情况及临床症状改善情况均优于常规抗痨组（χ^2=7.213、12.324、13.311,均P〈0.05）.结论 小切口开胸病灶清除术,创伤小,可较好地改善临床症状,提高空洞型肺结核和肺结核球治疗效果.

Effect of small incision thoracotomy lesions clear surgery in the treatment of cavitary pulmonary tuberculosis and tuberculosis ball

Objective To explore the clinical effects of small incision thoracotomy lesions operation in the treatment of cavitary pulmonary tuberculosis and tuberculosis ball. Methods 58 patients with cavitary pulmonary tuberculosis and tuberculosis ball were randomly divided into two groups,29 cases in each group. The observation group was given small incision thoracotomy lesions operation on the basis of conventional chemotherapy. The control group received conventional chemotherapy. The sputum bacterial culture became negative was observed, X-ray was used to observe the cavity closure and the change of clinical symptoms. Results The sputum culture of 27 cases in the observation group became negative （93. 10% ）. sputum culture of 18 cases in the control group became negative （62.07%）. 19 cases of the observation group had cavity closure（65.52% ）. 8 cases of the control group had cavity closure （27.59%）. The total effective rate of the observation group was 96.55%, that of the control group was 68. 97%. The sputum bacteria became negative, cavity closure and clinical symptoms improvement in the observation group were significantly better than those in the control group （ ~2 = 7. 213,12. 324, 13. 311, all P 〈 0. 05 ）. Conclusion Small incision thoracotomy lesions operation has small trauma, less damage on the body, can well improve clinical symptoms, and effective in the treatment of cavitary pulmonary tuberculosis and tuberculosis ball.