目的：探讨胸腔镜冷冻与高频电刀技术治疗结核性包裹性胸腔积液的临床疗效。方法56例结核性包裹性胸腔积液患者随机分为两组，电刀组患者采用胸腔镜高频电刀技术治疗，冷冻组采用胸腔镜冷冻技术治疗，比较两组患者临床疗效。结果电刀组与冷冻组患者治疗总有效率分别为92.86%、96.43%，比较差异无统计学意义(P>0．05)，但是冷冻组患者并发症发生率明显低于电刀组，冷冻组患者导管留置时间及住院时间均明显短于电刀组，差异均有统计学意义(P<0．05)。结论胸腔镜冷冻及高频电刀均是治疗结核性包裹性胸腔积液的有效方法，但是冷冻技术对患者损伤小，不良反应少见，术后恢复快。%Objective To investigate the clinical efficacy of thoracoscopy cryotherapy and high-frequency electrotome in the treatment of encapsulated tuberculous pleural effusion. Methods 56 cases of tuberculous encap-sulated pleural effusion were randomly divided into two groups: the electrotome group was treated by high-frequency electrotome, and the cryotherapy group was treated by cryotherapy. Their clinical efficacy was compared between the two groups. Results There was no significant difference in the total efficiency between the two groups (92. 86% and 96. 43%) (P>0. 05), but the incidence of complications was obviously lower in the cryotherapy group than in the electrotome group, and catheter time and hospital stay was significantly lower in the cryotherapy group than in the electrotome group (P<0. 05). Conclusion Thoracoscopy cryotherapy and high-frequency electrotome are effective methods for patients with encapsulated tuberculous pleural effusion, but cryotherapy has less damage and adverse re-actions, and quicker recovery.
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