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目的探讨和分析外科手术治疗慢性结核性脓胸的效果。方法 28例慢性结核性脓胸患者作为研究对象,根据其入院顺序分成甲组和乙组,每组14例。乙组患者通过胸廓成形术进行治疗,甲组患者通过改良式胸膜剥脱术进行治疗。评价两组患者的手术情况、疗效以及不良反应情况。结果甲组患者的引流管留置时间(5.08±1.52)d短于乙组的(9.43±1.77)d、术中出血量(445.62±78.52)ml少于乙组的(693.34±102.62)ml、手术时间(221.61±52.85)min短于乙组的(305.62±55.65)min,差异均具有统计学意义(P<0.05)。甲组治疗总有效率100.0%高于乙组71.43%,差异具有统计学意义(P<0.05)。甲组不良反应发生率7.14%低于乙组42.86%,差异具有统计学意义(P<0.05)。结论在慢性结核性脓胸患者的治疗中,改良式胸膜剥脱术的应用效果良好,患者的引流管留置时间、术中出血量、手术时间明显减少,提高了治疗效果,降低了不良反应发生的风险,值得推广。
Objective To investigate and analyze the effect of surgical treatment of chronic tuberculous empyema. Methods Twenty-eight patients with chronic tuberculous empyema were divided into group A and group B according to their order of admission, with 14 cases in each group. Patients in group B were treated by thoracoplasty and patients in group A were treated by modified pleural dissection. Evaluation of two groups of patients with surgery, efficacy and adverse reactions. Results The retention time of drainage tube in group A was shorter than that in group B (5.08 ± 1.52 d) (9.43 ± 1.77 d), while the amount of blood loss in operation (445.62 ± 78.52) ml was less than that of group B (693.34 ± 102.62) ml The time (221.61 ± 52.85) min was shorter than that of group B (305.62 ± 55.65) min, the differences were statistically significant (P <0.05). The total effective rate of group A was 100.0% higher than that of group B (71.43%), the difference was statistically significant (P <0.05). The incidence of adverse reactions in group A was lower than 7.14% in group B (42.86%), the difference was statistically significant (P <0.05). Conclusion In the treatment of patients with chronic tuberculous empyema, modified pleurodesis has good effect, the drainage tube indwelling time, intraoperative blood loss, operation time was significantly reduced, and the treatment effect was improved and the adverse reactions were reduced Risk, worth promoting.