Minimally invasive closed thoracic drainage in treatment of massive tuberculous pleural effusion

Abstract

Objective To investigate the difference of the clinical therapeutic efficacy of the minimally invasive thoracic closed drainage and repeated thoracenteses in the massive tuberculosis pleural effusion patients. Methods One hundred cases with the massive tuberculosis pleural effusion were randomly divided into the treatment group (minimally invasive closed thoracic drainage, 50 cases) and the control group (repeated thoracenteses, 50 cases). The differences between the two groups were compared in the time required for absorption of pleural effusion, the incidence of pleural thickening and the application of hormone. Results Compared with the control group, the treatment group shortens the time required for absorption of pleural effusion, lowered the incidence of pleural thickening and shortened the application of hormone. Furthermore, there were significant differences between the two groups statistically(P＜0.05). Conclusions Minimally invasive closed thoracic drainage for the treatment of massive tuberculous pleural effusion has better efficacy, fewer complications and reduce pain in patients with multiple puncture and should be widely applied. Key words: Minimally invasive; Closed thoracic drainage; Tuberculous pleural effusion