CAJ | 학술논문

目的：观察微波联合利福平治疗渗出型结核性腹膜炎的临床效果。方法：选取我科2009年3月～2014年3月渗出型结核性腹膜炎患者75例，随机分为治疗组和对照组，两组均给予相同的抗结核方案，即3HRZE／6HR，并行腹腔置管，注射无菌的利福平针剂；治疗组加用微波局部照射治疗，每次照射15 min，每日2次，治疗4周；对照组无微波照射；比较两组的治疗效果。结果：治疗组腹水消失快，腹腔积液总量少，效果明显优于对照组，相关指标有统计学意义（P＜0．05），而并发症的发生率、不良反应和复发率无统计学差异（P＞0．05）。结论：采用微波照射联合利福平局部注射治疗渗出型结核性腹膜炎操作方便、效果明显，值得临床推广应用。
목적：관찰미파연합리복평치료삼출형결핵성복막염적림상효과。방법：선취아과2009년3월～2014년3월삼출형결핵성복막염환자75례，수궤분위치료조화대조조，량조균급여상동적항결핵방안，즉3HRZE／6HR，병행복강치관，주사무균적리복평침제；치료조가용미파국부조사치료，매차조사15 min，매일2차，치료4주；대조조무미파조사；비교량조적치료효과。결과：치료조복수소실쾌，복강적액총량소，효과명현우우대조조，상관지표유통계학의의（P＜0．05），이병발증적발생솔、불량반응화복발솔무통계학차이（P＞0．05）。결론：채용미파조사연합리복평국부주사치료삼출형결핵성복막염조작방편、효과명현，치득림상추엄응용。
Objective:To observe the clinical effects of treating exudative tuberculous peritonitis by combined microwave with rifampicin .Methods:Seven-ty-five patients with exudative tuberculous peritonitis treated in our department between March 2009 and March 2014 were included and randomly allocated to treatment group and control group.Both groups underwent similar anti-TB regimen(i.e.,3HRZE/6HR,placement of parallel intraperitoneal catheter, sterile injection of rifampicin),and the treatment group were given additional local microwave irradiation for consecutive 4 weeks,twice a day,15 min for each exposure.The therapeutic effects were evaluated for the two groups after treatment .Results:Ascites disappeared quickly and the total amount of perito-neal effusion was lessened in the treatment group,which produced better therapeutic effect than the control group(P<0.05),yet the two groups remained similarly regarding the incidence of complications,adverse events and relapse(P>0.05).Conclusion Combined focal microwave irradiation with rifampi-cin may be effective in treatment of exudative tuberculous peritonitis and worthy of clinical recommendation .