中国内镜杂志2011，Vol.17Issue(3)：267-270,4.
局麻下胸腔镜治疗结核性包裹性胸膜炎的疗效分析
Efficacy of local anesthesia-assisted thoracoscopic treatment of tuberculous encysted pleurisy
王钧 1吴万鹏 1孙顺兴 1范勇 2孙昕 2梁春宝2
作者信息
- 1. 天津市海河医院胸外科,天津市,300350
- 2. 天津市海河医院介入科,天津市,300350
- 折叠
摘要
Abstract
[Objective]To discuss the efficacy under local anesthesia-assisted thoracoscopic treatment of tuberculons encysted pleurisy.[Methods]Select 61 patients showed pleural package, hypertrophy, adhesion of tuberculott encysted pleurisy and randomly divided into thoracoscopic group and control group.Thomcoscopic group reocived thoracoscopic treatment under local anesthesia, the control group were given repeated thoracentesis and intrapleural urokinase.To compare chest distress, short breath and pleural effusion disappeared; pleural adhesions,scparate parcels; parietal pleural thickness; changes in lung function in the two groups after treatment.[Results]2 months after treatment, the rate of disappearance of chest distress or short breath and pleural effusion, FVC％,ERV％ in thoracoscopy group was higher;, while pleural adhesions, parcels and parietal pleural thickness were lower than control groups, the differences were statistically significant (P ＜0.05).Thoracoscopic group had no serious complications both during and after treatment.[Conclusions]Under local anesthesia-assisted thoracoscopic treatment of tuberculous encysted pleurisy had good efficacy.It is safe, simple, little damage, low complication rate, and can also obtain pathological diagnosis, is worthy of promotion.关键词
胸腔镜/结核/包裹性胸膜炎/胸膜粘连/局部麻醉分类
医药卫生引用本文复制引用
王钧,吴万鹏,孙顺兴,范勇,孙昕,梁春宝..局麻下胸腔镜治疗结核性包裹性胸膜炎的疗效分析[J].中国内镜杂志,2011,17(3):267-270,4.
