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目的探讨内科胸腔镜辅助治疗结核性胸腔积液临床疗效。方法在常规抗结核、对症支持等综合治疗基础上,试验组行内科胸腔镜辅助治疗,对照组行胸腔闭式引流,观察手术相关指标、术后1个月临床疗效以及不良反应。结果试验组和对照组病例拔管时间、胸膜厚度、肺功能改善(FEV1%、FVC%)差异显著(均P<0.05);两组治疗有效率分别为94.79%和60.44%,差异显著(P<0.05);不良反应发生率分别为6.25%和23.08%,差异显著(P<0.05)。结论内科胸腔镜辅助治疗结核性胸腔积液临床效果理想。
Objective To investigate the clinical efficacy of medical thoracoscope in the treatment of tuberculous pleural effusion. Methods On the basis of general anti-tuberculosis and symptomatic treatment, the experimental group received medical thoracoscopic assisted therapy and the control group received closed thoracic drainage. The relevant indexes of operation, clinical efficacy and adverse reactions at 1 month after operation were observed. Results The extubation time, pleural thickness and pulmonary function improvement (FEV1%, FVC%) in the experimental group and the control group were significantly different (all P <0.05). The effective rates of the two groups were 94.79% and 60.44%, respectively <0.05). The incidence of adverse reactions were 6.25% and 23.08% respectively, with significant difference (P <0.05). Conclusion The medical thoracoscopic adjuvant treatment of tuberculous pleural effusion clinical results.