CAJ | 학술논문

目的：探讨胸腔镜辅助治疗结核性包裹性胸腔积液的效果。方法2003年10月～2012年9月，对112例早期结核性包裹性胸膜炎并胸腔积液患者行胸腔镜辅助治疗，将包裹分隔用胸腔镜活检钳及电凝钩分离，清除分隔内的干酪坏死组织、纤维板及胸腔积液，胸腔内放置中心静脉导管，术后用尿激酶溶解纤维素。术后给予抗结核药物治疗。结果111例肺完全复张，1例右下肺未完全膨胀。2例术后其他细菌感染，经抗生素治疗痊愈。112例随访9～12个月，平均9．4月，无复发。结论对内科反复穿刺及置管引流不.的早期结核性包裹性胸腔积液，胸腔镜辅助手术治疗安全有效，无明显并发症。
목적：탐토흉강경보조치료결핵성포과성흉강적액적효과。방법2003년10월～2012년9월，대112례조기결핵성포과성흉막염병흉강적액환자행흉강경보조치료，장포과분격용흉강경활검겸급전응구분리，청제분격내적간락배사조직、섬유판급흉강적액，흉강내방치중심정맥도관，술후용뇨격매용해섬유소。술후급여항결핵약물치료。결과111례폐완전복장，1례우하폐미완전팽창。2례술후기타세균감염，경항생소치료전유。112례수방9～12개월，평균9．4월，무복발。결론대내과반복천자급치관인류불.적조기결핵성포과성흉강적액，흉강경보조수술치료안전유효，무명현병발증。
Objective To explore the effects of video-assisted thoracoscopic treatment for tuberculous encapsulated pleural effusion. Methods Under the assistance of thoracoscopy , 112 patients with early tuberculous encapsulated pleurisy and pleural effusion from October 2003 to September 2012 were treated .The lesion was dissected and separated using thoracoscopic biopsy forceps and coagulation hook.The cheese-like necrotic tissues, fiberboard, and fluid in the lesion were removed, and then a central venous catheter was placed in the chest for subsequent cellulose dissolution with urokinase .Postoperatively , antituberculosis drugs were given . Results Complete lung recruitment was obtained in 111 cases, except for 1 case in the right lower lung.Postoperative bacterial infections occurred in 2 cases, which were fully cured by antibiotics .All the 112 cases were followed up for 9-12 months (mean, 9.4 months), with no recurrence. Conclusion Video-assisted thoracoscopic treatment for tuberculous encapsulated pleural effusion undergoing repeated puncture and ineffective catheter drainage is safe and effective , without significant complications .