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目的:探讨胸腔镜在顽固性胸腔积液诊治中的应用价值。方法:回顾性分析2006年12月至2014年1月揭阳市人民医院收治的87例胸腔积液患者的临床资料,按不同的治疗手段分为胸腔镜组(35例)及非胸腔镜组(52例),比较两组患者治疗效果和治疗后的生活质量。结果:胸腔镜组有效率显著高于非胸腔镜组,两组比较,差异有统计学意义(P<0.05)。胸腔镜组治疗后KPS评分为(69.8±8.8)分,明显优于非胸腔镜组的(55.6±12.5)分,两组比较,差异有统计学意义(P<0.05)。结论:胸腔镜检查对胸腔积液的诊断准确率高,具有安全、创伤小的优点,且能够同时进行相应治疗,显著提高胸腔积液患者治疗后的生存质量,值得临床推广应用。
Objective: To investigate the value of thoracoscope in the diagnosis and treatment of refractory pleural effusion. Methods: The clinical data of 87 patients with pleural effusion admitted to Jieyang People’s Hospital from December 2006 to January 2014 were retrospectively analyzed. According to different treatment methods, they were divided into thoracoscope group (35 cases) and non-thoracoscopic group 52 cases). The therapeutic effect and the quality of life after treatment were compared between the two groups. Results: The effective rate of thoracoscopic group was significantly higher than that of non-thoracoscopic group. There was significant difference between the two groups (P <0.05). The KPS score of the thoracoscopic group was (69.8 ± 8.8) points, which was significantly better than that of the non-thoracoscopic group (55.6 ± 12.5). There was significant difference between the two groups (P <0.05). Conclusions: The diagnostic accuracy of thoracoscopy for pleural effusion is high, which has the advantages of safety and less trauma, and can be treated at the same time. It can significantly improve the quality of life of pleural effusion patients after treatment, which is worthy of clinical application.