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目的评价纤维支气管镜在大中量分隔性胸腔积液诊治中的应用。方法42例经B型超声诊断为大中量有分隔的胸腔积液患者,随机分为2组,每组21例在全身抗痨治疗同时,对照组应用胸腔内注入尿激酶并胸腔穿刺抽液保守治疗,治疗组局麻下应用纤维支气管镜将分隔打开,置管引流。结果保守治疗组治愈15例,6例形成包裹需手术治疗。治疗组治愈18例,3例胸膜增厚,转为手术治疗。结论纤维支气管镜在大中量分隔性胸腔积液诊治中有安全、有效、易操作,明确诊断同时,可给与有效治疗,避免形成包裹而需手术治疗有很大应用价值。
Objective To evaluate the application of fiberoptic bronchoscopy in the diagnosis and treatment of large and medium-sized pleural effusion. Methods Forty-two patients with pleural effusion diagnosed by large-medium volume B-mode ultrasound were randomly divided into two groups. In each group, 21 cases were treated with systemic anti-tuberculosis therapy. In the control group, intrapleural injection of urokinase and thoracentesis Conservative treatment, the treatment group under local anesthesia with fiberoptic bronchoscopy will be separated open, catheter drainage. Results In the conservative treatment group, 15 cases were cured, and 6 cases needed surgical treatment. The treatment group cured 18 cases, 3 cases of pleural thickening, converted to surgery. Conclusions Fiberoptic bronchoscopy is safe, effective and easy to operate in the diagnosis and treatment of large and medium-volume separated pleural effusions. With definite diagnosis, it can be given effective treatment to prevent the formation of parcels and has great application value in surgical treatment.