弹性导丝分割加中心静脉导管内置术治疗结核性胸腔积液疗效观察

摘要

Objective To study the clinical value of elasticity guide wire diremption joint Central venous catheters inlay in treating tuberculosis pleurisy. Methods 100 patients of tuberculosis pleurisy were randomly divided into therapy group and control group, every group 50 patients, and both groups were given regular anti - tuberculosis therapy. Therapy group received the treatment of Elasticity guide wire diremption joint Central venous catheters inlay in pleural cavity, and control group only with treatment of Central venous catheters inlay in pleural cavity. Results At the end point of treatment, for the therapy group, the days of dissolution of pleural effusion was ( 5. 6 ±1. 2 ds ), the number of pleural effusion was ( 2367 ±18 ml ) and the mean thickness of pleura was ( 1. 11 ±0. 38 mm ), While for the control group ( 12. 8 ±. 7 ds, 2768 ±177 ml, 1. 82 ±.29 mm), which had significant differences ( P < 0. 05 ). The rate of pleural adhesions is 12% , while the control group is 38% ( P < 0. 05 ). Conclusion Elasticity guide wire diremption joint Central venous catheters inlay in treating tuberculosis pleurisy is safe and effective way with lower side reactions in practice.%目的 探讨超声引导下弹性导丝分割加中心静脉导管内置术在结核性胸腔积液的临床疗效及应用价值.方法 选取100例新住院结核性胸腔积液患者,随机分为治疗组和对照组,治疗组(50例)在全身抗痨治疗基础上加用弹性导丝分割加中心静脉导管内置术,对照组(50例) 在全身抗痨治疗基础上加用中心静脉导管内置术治疗.结果 治疗组胸液消失天数为(5.6±1.2天),胸膜肥厚程度为(1.11±0.38 mm),排出胸液量为2367±418 ml,明显好于对照组(12.8±3.7天、1.82±0.29 mm,2768±1177 ml,P<0.05).胸膜粘连发生率治疗组为12%(6/50),明显高于对照组[38%((19/50),(P<0.05)].结论 超声引导下弹性导丝分割加中心静脉导管内置术是治疗结核性胸腔积液的有效和安全的治疗方法.