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目的:分析和探讨对胸腔积液患者采用胸腔镜进行治疗的临床情况和效果。方法:随机选择2013年11月~2014年11月以来,我院胸外科收治的胸腔积液患者94例。将患者按照自愿原则分组别治疗,即对照组47例患者,采用常规胸腔穿刺引流术;观察组47例患者,采用胸腔镜下穿刺引流术。并对比、分析和统计两组患者的临床诊治情况和效果。结果:统计学分析显示,观察组患者的治疗总有效率(95.74%)明显高于对照组患者(82.98%),两组比较存在明显的差异性,具有统计学意义(P<0.05)。观察组的术后并发症率(0)略低于对照组(4.26%),但组间比较不存在统计学意义(P>0.05)。结论:对胸腔积液患者采用胸腔镜治疗的效果显著,患者治愈率高,术后并发症少,因此它是一种有效安全、理想科学的临床诊治方法。
Objective: To analyze and discuss the clinical situation and effect of using thoracoscope to treat pleural effusion. Methods: From November 2013 to November 2014, 94 patients with pleural effusion admitted to our department of thoracic surgery were randomly selected. The patients were grouped according to the principle of voluntarism, that is, 47 patients in the control group were treated by conventional thoracic drainage. In the observation group, 47 patients underwent thoracoscopic drainage. The clinical diagnosis and treatment of two groups of patients were compared and analyzed. Results: Statistical analysis showed that the total effective rate (95.74%) in the observation group was significantly higher than that in the control group (82.98%). There was significant difference between the two groups (P <0.05). The postoperative complication rate in the observation group (0) was slightly lower than that in the control group (4.26%), but there was no significant difference between the two groups (P> 0.05). Conclusion: The treatment of pleural effusion with thoracoscopic significant effect, the patients with high cure rate, less postoperative complications, so it is an effective, safe and ideal scientific clinical diagnosis and treatment methods.