微创胸导管闭式引流术治疗结核性胸膜炎的疗效观察

目的探讨微创胸导管闭式引流术治疗结核性渗出性胸膜炎的疗效。方法选取82例结核性胸膜炎患者，其中置管组42例，采用微创胸导管闭式引流术；胸穿组40例，采用多次常规胸腔穿刺术。结果置管组在胸水吸收天数、症状好转天数及住院天数方面均优于胸穿组（P〈0．05）。置管组在胸膜增厚发生率上少于胸穿组（P〈0．05）。两组在胸腔内出血、气胸、堵管、感染、胸膜反应及导管脱落等并发症方面差异无统计学意义（P〉0．05）。结论微创胸导管闭式引流术治疗结核性胸膜炎优于胸腔穿刺术，值得临床推广。

Clinical effect using mini-invasive chest catheter closed drainage in treating tuberculous pleurisy

Objective To explore the clinical effect of using mini-invasive chest catheter closed drainage in treating tuberculous pleurisy. Methods To select 82 tuberculous pleurisy patients ,42 patients was used miniinvasive chest catheter closed drainage and 40 patients were used traditional pleuracentesis. Results The days of fluid absorption, the doing well improving and the hospital days were better in the indwelling catheter groups than in the puncturing groups（ P 〈 0. 05 ）. The incidence of pleural thickening was reduced in the in- dwelling catheter groups than in the puncturing groups（ P 〈 0. 05 ）. The complications in the two groups had no statistical significant differences in hemorrhage of thoracic cavity, pneumothorax, blocking, infection, pleural reaction, catheter shedding etc （ P 〉 0. 05 ）. Conclusion Mini-invasive chest catheter closed drainage in treating tuberculous pleurisy is better than pleuraeentesis ,worthy to be popularized.