微导管引流及胸腔内给药治疗结核性胸腔积液的疗效观察

目的　探讨结核性渗出性胸腔积液治疗方式。方法 在全身规则抗结核治疗下，治疗组42例结核性渗出性胸腔积液患者，采用微导管引流胸液及腔内药物注入法。对照组 42例按常规方式进行治疗。结果 治疗组胸水控制率为 100%，达到完全好转 93%，部分好转 7%。对照组胸水控制率为 86%，达到完全好转 76%，部分好转 10%，好转 14%。结论 微导管引流胸腔积液和腔内注药治疗结核性渗出性胸腔积液的方法方便、安全，疗效满意，值得在临床上推广应用。

Drainage by minute tube with drug treatment tubarculosis pleural effusion in thoracic cavity

Objective To study the treatment pattern of tuberculos pleural effusion.Methods This study using minute tube drainage new techniques,42 cases were use drugs empties into the thoracic cavity.The control group using classical treatment model.Regular antituberculosis treatment was to all patients observed.Results There were 42 cases after treatment in cavity inside reached control.The efficacious ratio was 100% (42/42).93%(39/42) of the 42 cases achieved complete improvement and another 7%(3/42) of the 42 cases achieved partial improvement.The control group were efficacious ratio was 86%(36/42).76%(32/42) of the 42 cases achieved complete improvement and another 10%(4/42) of the 42 cases achieved partial improvement.14%(6/42) improvement.Conclusion 42 cases tuberculosis pleural effusion in thoracic cavity was a convenient safe method that can be used widely.The treatment outcome as presented in this article was very good and the treatment model was valuable for clinical practice.