摘要
目的：分析外科手术治疗慢性结核性脓胸的临床治疗效果。方法选择2003年1月至2013年1月择期于首都医科大学附属北京胸科医院行外科手术治疗的183例慢性结核性脓胸患者为研究对象。分析不同治疗方案对慢性结核性脓胸的治疗效果。结果胸膜纤维板剥离术89例，闭式引流术＋胸膜纤维板剥离术17例，胸廓成形术47例，闭式引流术＋胸廓成形术24例，胸膜肺切除术6例。术后16例患者发生并发症，发生率为8.7％。5种手术方式的有效率分别为94.4％、100.0％、93.6％、100.0％、83.3％。结论外科手术是目前治疗慢性结核性脓胸最佳方式，临床上应根据患者实际病情，选择最佳的手术方式，提高临床治疗效果。
Objective To analyze the clinical effect on chronic tuberculosis empyema in treatment of surgical operation.Methods One hundred and eighty three cases treated with surgical operation were chose in our hospital from Jan.2003 to Jan.2013.The clinical effect of chronic tuberculosis empyema treated with different treatments was analyzed.Result Eighty nine cases with pleural fibrotic plastictomy , 17 cases with thoracostomy combined pleural fibrotic plastictomy , 47 cases with tboracoplasty , 24 cases with thoracostomy combined tboracoplasty , and 6 cases with pleurolobectomy.16 patients occurred complications , and the rate was 8.7%.The curative rate among 5 groups of different surgical style were 94.4%,100.0%, 93.6%,100.0%, 83.3%.Conclusion The surgical operation is best way in treatment of chronic tuberculosis empyema.It′s necessary to choose the best surgical approach by actual clinical condition of patients to improve clinical effect.
出处
《中华医学杂志》
CAS
CSCD
北大核心
2014年第31期2441-2443,共3页
National Medical Journal of China
关键词
外科手术
脓胸
结核性
胸廓成形术
Surgical procedures,operative
Empyema,tuberculous
Thoracoplasty
