摘要
目的探讨局麻下胸腔镜治疗结核性包裹性胸膜炎的疗效分析。方法采用局麻下胸腔镜(胸腔镜组,n=40)或胸膜腔内注入尿激酶(对照组,n=40)治疗的80例结核性包裹性胸膜炎患者的临床资料进行分析。结果治疗前两组患者之间的病程、胸膜厚度、FVC和ERV都没有显著差异。治疗后2个月胸腔镜组患者的胸闷气短症状消失率、胸液消失率、胸膜厚度、FVC和ERV都显著优于对照组患者,胸腔镜组患者的治疗总有效率显著地大于对照组。结论局麻下胸腔镜治疗结核性包裹性胸膜炎疗效确切、安全、损伤小,并发症少,可以作为治疗结核性包裹性胸膜炎的首选方法。
Objective To explore the curative effect of local anesthesia-assisted thoracoscopy in the treatment of tuberculous encysted pleurisy. Methods 80 patients with tuberculous encysted pleurisy were evenly divided into two groups. The study group was given local anesthesia-assisted thoracoseopy, and the control group was treated with intrapleural urokinase injection. Their clinical data were compared and analyzed. Results Before the treatment, there was no significant difference on the course of disease, pleural thickness, FVC, and ERV between the two groups. Two months after the treatment, the improvement of chest stuffy short symptoms disappear rate, chest fluid disappear rate, pleural thickness, FVC, and ERV was more pronounced in the study group than in the control group. Conclu- sion The local anesthesia-assisted tboracoscopy has a certain curative effect with the advantages of high safety, small damage and little complication in the treatment of patients with tuberculous encysted pleurisy, which can be considered as the first priority treatment method.
出处
《临床肺科杂志》
2013年第11期2053-2054,共2页
Journal of Clinical Pulmonary Medicine
关键词
局麻
胸腔镜
结核性包裹性胸膜炎
疗效
local anesthesia
thoraeoscopy
tuberculous encysted pleurisy
curative effect
