CAJ | 학술논문

目的：对弹性导丝分割与胸腔注入尿激酶在治疗多发分隔结核性胸腔积液的临床疗效进行比较。方法选取多发分隔结核性胸腔积液患者98例，分为a组(导丝组)、b组(尿激酶组)及c组(合用组)，观察三组胸腔积液好转天数、胸腔积液引流量及胸膜反应发生率并进行比较。结果胸腔积液好转天数、胸水引流量a组与b组及a组与c组之间有统计学差异(P<0．05)，而b组与c组无统计学差异(P>0．05)。操作出现胸膜反应a组与c组无统计学差异(P>0．05)，而a组与b组、b组与c组之间有统计学差异(P<0．05)。结论弹性导丝分割是治疗结核性胸腔积液的有效治疗方法，但胸膜反应发生率高，胸腔注入尿激酶带来更多的胸腔积液引流量，两种方法合用并无优势。
목적：대탄성도사분할여흉강주입뇨격매재치료다발분격결핵성흉강적액적림상료효진행비교。방법선취다발분격결핵성흉강적액환자98례，분위a조(도사조)、b조(뇨격매조)급c조(합용조)，관찰삼조흉강적액호전천수、흉강적액인류량급흉막반응발생솔병진행비교。결과흉강적액호전천수、흉수인류량a조여b조급a조여c조지간유통계학차이(P<0．05)，이b조여c조무통계학차이(P>0．05)。조작출현흉막반응a조여c조무통계학차이(P>0．05)，이a조여b조、b조여c조지간유통계학차이(P<0．05)。결론탄성도사분할시치료결핵성흉강적액적유효치료방법，단흉막반응발생솔고，흉강주입뇨격매대래경다적흉강적액인류량，량충방법합용병무우세。
Objective To compare the curative effect between guide wire diremption and intrapleural injec-tion with urokinase in the treatment of tuberculosis pleurisy. Methods 96 patients with tuberculous separated pleural effusion were randomly divided into the group A ( elastic guide wire) , the group B ( urokinase) and the group C ( in both ways) . The number of days that pleural effusion got better, pleural effusion drainage and pleural reaction rate were observed. Results There were significant differences in recovery time, pleural effusion drainage and pleural re-action between the group A vs the group B and the group A vs the group C, but there was no significant difference be-tween the group B and the group C. There was significant difference in the incidence of pleural reaction between the group A vs the group B and the group C vs the group B, but there was no significant difference between the group A and the group C. Conclusion Elastic guide wire diremption is an effective method for the treatment of tuberculous pleural effusion, but pleural reaction rate is high. The intrapleural injection of urokinase has more pleural effusion drainage, and the combination of two methods has no advantage.