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时间:2020-04-25
《内科胸腔镜在结核性包裹性胸腔积液诊治中的应用-论文.pdf》由会员上传分享,免费在线阅读,更多相关内容在行业资料-天天文库。
1、昆明医科大学学报2014,35(8):123126CN53—1221/RJournalofKunmingMedicalUniversity内科胸腔镜在结核性包裹性胸腔积液诊治中的应用舒敬奎,刘凌,张剑青,赵芝焕,戴路明(昆明医科大学第一附属医院呼吸科,云南昆明650032)[摘要]目的探讨局麻下内科电子胸腔镜在结核性包裹性胸腔积液诊治中的效果.方法选取昆明医科大学第一附属医院呼吸科143例结核性包裹性胸腔积液患者,采用历史性对照法分为2组:胸腔镜组(64例)及对照组(79例),并回顾性分析其相应的诊断及治疗方法
2、,比较2组病理学确诊率、肺功能改变、胸闷及气促消失时间、治疗后并发症等情况.结果胸腔镜组病理学确诊率、肺功能用力肺活量占预计值百分比(FVC%)及第1秒用力呼气容积占预计值百分比(FEVI%)值均高于对照组,胸闷及气促消失时间低于对照组,差异均有显著性(P<0.05).胸腔镜组治疗后有1例发生严重并发症.结论局麻下胸腔镜诊断及治疗结核性包裹性胸腔积液效果好、简便、严重并发症发生率低,值得临床推广.[关键词]胸腔镜;结核;胸腔积液;治疗[中图分类号]R56t.1[文献标识码]A[文章编号]2095-610X(20
3、14)08—0123一o4ApplicationofMedicalThorac0sc0pyintheDiagnosisandTreatmentofTuberculousEncystedPleuralEffusionSHUJing—kui,LIULing,ZHANGJian-qing,ZHAOZhi-huan,DAILu-ming(Oept.ofRespiratory,The1stAffiliatedHospitalofKunmingMedicalUniversity,KunmingYunnan650032,Ch
4、ina)lAbstract]ObjectiveToinvestigatetheeffectofthoracoscopyunderlocalanesthesiaindiagnosisandtreatmentoftuberculousencystedpleuraleffusion.Method143patientswithtuberculousencystedpleuraleffusionweredividedintotwogroupsaccordingtohistoricalcomparisonmethod:th
5、oracoscopicgroup(n=64)andcontrolgroup(n=79).Thecorrespondingdiagnosisandtreatmentwereretrospectivelyanalyzed,andthepathologicaldiagnosisrate,changesinlungfunction,chesttightnessandshortnessofbreathdisappear,complicationsaftertreatmentwerecomparedbetweenthetw
6、ogroups.ResultsThepathologicaldiagnosisrate,vitalcapacityoflungfunctionexpectedpercentages(FVC%)andforcedexpiratoryvolumein1secondtakeupoftheexpected(FEVI%)valuesinthethoracoscopicgroupwerehigherthanthecontrolgroup,butchesttightness,shortnessofbreathdisappea
7、rtimewerelowerthanthecontrolgroup,thediferencesweresignificant(P<0.05).1caseofseverecomplicationsoccurredinthethoracoscopicgroup.ConclusionTheeffectofthoracoscopyunderlocalanesthesiaisgoodindiagnosisandtreatmentoftuberculousencystedpleuraleffusion,itissimple
8、andhaslowincidenceofseverecomplications,SOisworthclinicalpromotion.【Keywords]Thoracoscope;Tuberculous;Pleura1effusion;Treatment结核性胸膜炎是常见的胸膜疾病,是结核分导致病变胸膜在短时间内出现纤维粘连包裹,如枝杆菌及其代谢产物进人超敏状态胸膜腔中引起胸腔积液不能
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