Comparison of the effect of two treatment methods for thoracic tuberculosis

Abstract

Objective To explore the efficacy of two treatment methods for thoracic tuberculosis. Methods According to the different surgical methods, 61 patients with thoracic tuberculosis were randomly divided into A group(31 cases) and B group(30 cases). A group was treated with simple thoracic tuberculosis soft tissue lesions removed, and B group was treated with focus removal + rib resection + muscle flap packing.The operation time, pain time, extubation time, hospital stay, wound fluid, cure rate and recurrence rate were compared between the two groups. Results The operation time, pain time, hospital stay time of A group were shorter than those of B group[(35.0±11.0)min vs.(50.0±9.5)min, (1.8±1.3)d vs.(4.2±2.4)d, (12.5±3.4)d vs.(18.8±5.7)d], the differences were statistically significant(t=6.257, 4.275, 5.334, all P 0.05]. Conclusion Analysis of the specific situation should be individualized on the chest wall tuberculosis, in the case of rib destruction, the focus should be removed + rib resection+ muscle flap packing, if there is no rib destruction, simple chest wall tuberculosis soft tissue lesions removal is more safe, because it is less traumatic for patients. Key words: Tuberculosis; Thoracic Wall; Comparative Effectiveness Research