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目的探讨胸腔镜活检术联合闭式引流在诊治结核性胸膜炎中的应用效果及安全性。方法选取福建医科大学附属泉州第一医院2013年2月—2016年5月收治的结核性胸膜炎患者286例,按照治疗方式不同分为观察组与对照组,各143例。观察组患者予以胸腔镜活检术及术后闭式引流治疗,对照组患者给予胸膜活检术及反复胸腔穿刺抽液治疗。比较两组患者的临床疗效、住院时间和胸腔积液控制时间及不良反应发生情况。结果观察组患者临床疗效优于对照组(P<0.05)。观察组患者住院时间、胸腔积液控制时间短于对照组(P<0.05)。观察组患者不良反应发生率低于对照组(P<0.05)。结论胸腔镜活检术联合闭式引流在诊治结核性胸膜炎中的应用效果确切,可提高治疗效果,缩短患者治疗时间,且安全性高。
Objective To investigate the effect and safety of thoracoscopic biopsy combined with closed drainage in the diagnosis and treatment of tuberculous pleurisy. Methods 286 cases of tuberculous pleurisy admitted to Quanzhou First Hospital Affiliated to Fujian Medical University from February 2013 to May 2016 were divided into observation group and control group with 143 cases in each group. Patients in the observation group were treated by thoracoscope biopsy and closed drainage. Patients in the control group were treated by pleural biopsy and repeated chest puncture. The clinical efficacy, length of hospital stay, control of pleural effusion and the incidence of adverse reactions were compared between the two groups. Results The clinical efficacy of the observation group was better than that of the control group (P <0.05). The observation group patients hospitalized, pleural effusion control time is shorter than the control group (P <0.05). The incidence of adverse reactions in observation group was lower than that in control group (P <0.05). Conclusion Thoracoscopic biopsy combined with closed drainage in the diagnosis and treatment of tuberculous pleurisy has the exact effect, which can improve the therapeutic effect, shorten the treatment time of patients, and high safety.