目的:探讨超声引导下弹性导丝分割加中心静脉导管内置术在结核性多房性积液的临床疗效及应用价值.方法:将100例结核性多房性积液患者分为治疗组和对照组,治疗组50例在全身抗痨治疗基础上加用弹性导丝分割加中心静脉导管内置术;对照组50例在全身抗痨治疗基础上加用中心静脉导管内置术治疗.结果:治疗组排出胸液量为3450±537ml,胸液消失天数为9.7±1.2d,胸膜肥厚程度为1.31±0.28 mm,明显高于对照组(2686±4567ml,18.7±3.4d,1.73±0.39mm,P <0.05).治疗组胸膜粘连发生率为14.0%(7/50),明显高于对照组46% (23/50),P <0.05.结论:超声引导下弹性导丝分割加中心静脉导管内置术是治疗结核性多房性积液的有效和安全的治疗方法.%Objective: To study the clinical value of elasticity guide wire joint Arrow Indwelling Catheter to treat tuberculosis pleurisy. Methods: Divide 100 tuberculosis pleurisy patients randomly into therapy group and con trol group, every group has 50 patients, and both groups were given regular anti-tuberculosis therapy, therapy group received the treatment of Elasticity guide wire joint Central venous catheters in pleural cavity, control group only treatment of Arrow Indwelling Catheter in pleural cavity. Results: At the end point of treatment, for the thera py group,the days of dissolution of pleural effusion was(9. 7 ± 1. 2d) , the number of pleural effusion was(3450 ± 537ml)and the mean thickness of pleura was(l. 31 ± 0. 28mm) , While for the control group((18. 7 ± 3. 4d、l. 73 ± 0. 39mm,2686 ± 4567ml ) ,which have significant differences (P<0. 05) ,the rate of pleural adhesions is 14% ,while the control group is 46% (P<0. 05). Conclusion： Elasticity guide wire joint Central venous catheters r to treat tuberculo sis pleurisy is safe and effective way with lower side reaction in practice.
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