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2018 ; 10
(1
): 347-354
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Comparison of closed-chest drainage with rib resection closed drainage for
treatment of chronic tuberculous empyema
#MMPMID29600066
Fang Y
; Xiao H
; Sha W
; Hu H
; You X
J Thorac Dis
2018[Jan]; 10
(1
): 347-354
PMID29600066
show ga
BACKGROUND: This study aimed to compare the efficacy of closed-chest drainage
with rib resection closed drainage of chronic tuberculous empyema. METHODS: This
retrospective study reviewed 86 patients with tuberculous empyema in Shanghai
Pulmonary Hospital from August 2010 to November 2015. Among these included
patients, 22 patients received closed-chest drainage, and 64 patients received
rib resection closed drainage. RESULTS: The results showed that after intercostal
chest closed drain treatment, 2 (9.09%) patients were recovery, 13 (59.09%)
patients had significantly curative effect, 6 (27.27%) patients had partly
curative effect, and 1 (4.55%) patient had negative effect. After treatment of
rib resection closed drainage, 9 (14.06%) patients were successfully recovery, 31
(48.44%) patients had significantly curative effect, 19 (29.69%) patients had
partly curative effect, and 5 (7.81%) patients had negative effect. There was no
significant difference in the curative effect (P>0.05), while the average
catheterization time of rib resection closed drainage (130.05±13.12 days) was
significant longer than that (126.14±36.84 days) in course of intercostal chest
closed drain (P<0.05). CONCLUSIONS: This study had demonstrated that closed-chest
drainage was an effective procedure for treating empyema in young patients. It
was less invasive than rib resection closed drainage and was associated with less
severe pain. We advocated closed-chest drainage for the majority of young
patients with empyema, except for those with other diseases.