Curative effect analysis of decortication in the treatment of durg-resistant tuberculous empyema
10.3760/cma.j.cn112434-20200714-00339
- VernacularTitle:纤维板剥脱术治疗耐药结核性脓胸的疗效分析
- Author:
Yuhui JIANG
1
;
Lei SHEN
;
Xiyong DAI
;
Jian SHENG
;
Xiaoyu LIU
Author Information
1. 武汉市肺科医院胸外科 430030
- Keywords:
Empyema, tuberculous;
Tuberculosis, drug resistant;
Surgical procedures
- From:
Chinese Journal of Thoracic and Cardiovascular Surgery
2021;37(8):491-495
- CountryChina
- Language:Chinese
-
Abstract:
Objective:To investigate the risk and efficacy of the decortication in treatment of drug-resistant tuberculous empyema.Methods:A retrospective analysis was conducted on the 146 patients with tuberculous empyema, who underwent decortication in Wuhan Pulmonary Hospital from March 2016 to November 2018, according to the drug-susceptibility testing of the pleural effusion or tissue specimens, the patients had been divided into drug-resistant group(29 cases) and control group(117 cases), compared the clinical datas such as operation time, intraoperative blood loss, postoperative drainage duration, pulmonary reexpansion duration, postoperative complications and curative ratio between both groups, and the factors that influence the risk and efficacy of surgery had been analyzed.Results:The operative time, intraoperative blood loss, postoperative drainage duration and postoperative complications in the drug-resistant group were larger than those in the control group, and the differences were statistically significant ( P<0.05). There was no significant difference in pulmonary reexpansion duration and curative ratio in the two groups( P>0.05). Conclusion:Decortication is safety, effective and feasible in the treatment of drug-resistant tuberculous empyema, although the operation is difficult and risky.
