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目的观察CT引导下穿刺抽液注药对结核性胸膜炎多发包裹积液的治疗效果。方法将60例结核性胸膜炎多发包裹积液患者随机分为抽液组30例90个病灶,对照组30例87个病灶,抽液组常规抗结核治疗并CT引导下穿刺抽液后向胸腔内注入尿激酶20万单位/次,容积较小的注入患者能耐受的量,但浓度不变;对照组常规抗结核治疗。结果治疗组胸水吸收效果明显优于对照组。结论常规抗结核治疗联合CT引导下穿刺抽液注入尿激酶治疗结核性胸膜炎多发包裹积液疗效满意,优于常规抗结核治疗。
Objective To observe the curative effect of CT-guided puncture and aspirate fluid on tuberculous pleurisy multiple effusion. Methods Sixty patients with tuberculous pleurisy were randomly divided into 30 cases of 30 cases of aspiration group and 30 of 87 cases of the control group. The patients in the control group received routine antituberculous therapy, Into the urokinase 200,000 units / time, the volume of smaller patients intolerant dose, but the same concentration; control group conventional anti-TB treatment. Results The treatment group pleural effusion absorption was significantly better than the control group. Conclusion Conventional antituberculous therapy combined with CT-guided puncture fluid injection of urokinase in the treatment of tuberculous pleurisy multiple effusion with satisfactory results, better than conventional anti-TB treatment.