To discuss two different methods of diagnosis and treatment of tuberculous pleurisy clinical path influenced the variation of such confinement.

Patients who meet eligibility requirements were included in admission date order from January 2012 when our Tangdu Hospital of Fourth Military Medical University carried out the tuberculous pleurisy clinical pathway. Thoracoscopy pleural plus closed drainage and closed pleural biopsy plus pleural puncture were carried out on 50 patients respectively; main factors of the two different hospital treatments which influenced the clinical path variation of such confinement were analyzed.

32 cases in Pleural biopsy group with pathological positive, the positive rate is 80%. And 37 cases in thoracoscopic group with pathological positive, the positive rate is 92.5%. There was no significant difference between the two groups(P>0.05). The average hospitalization days of patients who were treated with thoracoscopy pleural plus closed drainage was 7.2±1.8 days, while average hospitalization days of those treated with closed pleural biopsy plus pleural puncture was 8.7±2.9 days. Main factors leading to the variation of such confinement were different methods of treatment patient medical history and complications.

Diagnosis and treatment with thoracoscope for tuberculous pleurisy clinical pathway showed some positive influence on such confinement, and it was worthy of popularization.