结核性胸腔积液两种引流方法疗效的比较

目的比较两种弓I流方法的疗效。方法以210例中大量结核性渗出性胸腔积液患者为研究对象，随机分为胸腔闭式引流组及常规胸腔穿刺组。对照分析2组在疗效、并发症及费用上的差别。结果闭式引流组及穿刺组有效率分别为86.8％及65.4％，闭式引流组胸水消失快、费用低、并发症少，二者有显著统计学意义（P〈0.001或P〈0.05）。结论胸腔闭式引流是治疗结核性胸腔积液的有效辅助治疗方法，值得推广应用。

Curative Effect Comparision between Two Different Draining Ways in Patients with Tuberculous Pleural Effusions

Objective To compare the curative effects between two different draining ways in patients with tuberculous pleural effusions. Methods A total of 210 patients with tuberculous pleural effusions were divided in closed drainge group （ n = 106） and routine thoracentesis group （n = 104） at random. The differences in curative effect, complications and cost were investigated between the two groups. Results The effective rates were 86.8% in the closed drainge group and 65.4% in the routine thoracentesis group, respectively. Shorter course, lower cost and fewer compticatitons were found in the closed drainge group, and the differences between the two groups were significantly （ P 〈 0.001, or P 〈 0.05 ）. Conclusion Closed chest drainge is more effective and safer than routine thoracentesis, and it is a supplementary treatment for tuberculous pleural effusions and deserves to be applied widely.