CAJ | 학술논문

目的：分析外科手术治疗慢性结核性脓胸的临床治疗效果。方法选择2003年1月至2013年1月择期于首都医科大学附属北京胸科医院行外科手术治疗的183例慢性结核性脓胸患者为研究对象。分析不同治疗方案对慢性结核性脓胸的治疗效果。结果胸膜纤维板剥离术89例，闭式引流术＋胸膜纤维板剥离术17例，胸廓成形术47例，闭式引流术＋胸廓成形术24例，胸膜肺切除术6例。术后16例患者发生并发症，发生率为8.7％。5种手术方式的有效率分别为94.4％、100.0％、93.6％、100.0％、83.3％。结论外科手术是目前治疗慢性结核性脓胸最佳方式，临床上应根据患者实际病情，选择最佳的手术方式，提高临床治疗效果。
목적：분석외과수술치료만성결핵성농흉적림상치료효과。방법선택2003년1월지2013년1월택기우수도의과대학부속북경흉과의원행외과수술치료적183례만성결핵성농흉환자위연구대상。분석불동치료방안대만성결핵성농흉적치료효과。결과흉막섬유판박리술89례，폐식인류술＋흉막섬유판박리술17례，흉곽성형술47례，폐식인류술＋흉곽성형술24례，흉막폐절제술6례。술후16례환자발생병발증，발생솔위8.7％。5충수술방식적유효솔분별위94.4％、100.0％、93.6％、100.0％、83.3％。결론외과수술시목전치료만성결핵성농흉최가방식，림상상응근거환자실제병정，선택최가적수술방식，제고림상치료효과。
Objective To analyze the clinical effect on chronic tuberculosis empyema in treatment of surgical operation.Methods One hundred and eighty three cases treated with surgical operation were chose in our hospital from Jan.2003 to Jan.2013.The clinical effect of chronic tuberculosis empyema treated with different treatments was analyzed.Result Eighty nine cases with pleural fibrotic plastictomy , 17 cases with thoracostomy combined pleural fibrotic plastictomy , 47 cases with tboracoplasty , 24 cases with thoracostomy combined tboracoplasty , and 6 cases with pleurolobectomy.16 patients occurred complications , and the rate was 8.7%.The curative rate among 5 groups of different surgical style were 94.4%,100.0%, 93.6%,100.0%, 83.3%.Conclusion The surgical operation is best way in treatment of chronic tuberculosis empyema.It′s necessary to choose the best surgical approach by actual clinical condition of patients to improve clinical effect.