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目的研究顽固性胸腔积液患者行胸腔镜手术的临床效果及对患者生活质量的影响。方法选取2012年5月至2015年5月收治的顽固性胸腔积液82例患者,根据其采用的治疗方式不同分为传统组和腔镜组,41例传统组患者采用传统的胸腔液引流术或穿刺抽液检查,41例腔镜组患者采用胸腔镜手术治疗。查询文献资料,并分析两组患者疗效及其生活质量水平。结果腔镜组总有效率(92.68%)明显高于传统组总有效率(58.54%),差异显著(P<0.05);治疗后腔镜组患者的KPS评分明显高于传统组,差异显著(P<0.05)。结论胸腔镜具有较高的准确率,且诊治手术具有切口小,创伤小,安全性高等优点,其临床治疗疗效尤为显著,能极大提高患者生活质量水平。
Objective To study the clinical effect of thoracoscope surgery and the impact on the quality of life of refractory pleural effusion patients. Methods Eighty-two patients with intractable pleural effusion admitted to our hospital from May 2012 to May 2015 were divided into the traditional group and the endoscopic group according to the different treatment methods, and 41 patients in the traditional group were treated with traditional pleural fluid drainage Or puncture fluid examination, 41 cases of endoscopic group of patients treated with thoracoscopic surgery. Query the literature, and analysis of two groups of patients efficacy and quality of life. Results The total effective rate of endoscopic group (92.68%) was significantly higher than that of traditional group (58.54%) (P <0.05). The KPS score of endoscopic group was significantly higher than that of traditional group P <0.05). Conclusion The thoracoscope has a high accuracy, and the diagnosis and treatment of surgery has the advantages of small incision, less trauma, higher safety, and its clinical curative effect is particularly significant, which can greatly improve the quality of life of patients.