中国医师进修杂志
中國醫師進脩雜誌
중국의사진수잡지
CHINESE JOURNAL OF POSTGRADUATES OF MEDICINE
2014年
25期
16-18
,共3页
自发性气胸%胸腔闭式引流%微创
自髮性氣胸%胸腔閉式引流%微創
자발성기흉%흉강폐식인류%미창
Spontaneous pneumothorax%Closed thoracic drainage%Minimal invasive
目的 探讨用带针导管行微创胸腔闭式引流治疗自发性气胸的临床疗效.方法 将2011年1月至2013年3月行胸腔闭式引流的自发性气胸患者76例按随机数字表法分成2组,对照组39例,行常规粗管胸腔闭式引流,试验组37例,予带针导管行微创闭式引流.比较两组患者临床有效率、肺复张时间、创口愈合时间、疼痛程度及并发症产生情况.结果 治疗有效率试验组91.9％(34/37),对照组92.3％(36/39);肺复张时间试验组(5.38±2.21)d,对照组(5.29±2.27)d;两组比较差异均无统计学意义(P＞0.05).引流期间疼痛评分试验组(1.32±0.92)分,对照组(2.93±1.14)分;拔管后伤口愈合时间试验组(2.13±1.40)d,对照组(5.32±1.78)d,两组比较差异均有统计学意义(P＜0.01).试验组皮下气肿、脱管、切口感染等并发症较对照组明显减少.结论 带针导管微创闭式引流治疗自发性气胸,引流效果好,手术操作简单、创伤小,伤口愈合时间短,患者痛苦小,值得推广.
目的 探討用帶針導管行微創胸腔閉式引流治療自髮性氣胸的臨床療效.方法 將2011年1月至2013年3月行胸腔閉式引流的自髮性氣胸患者76例按隨機數字錶法分成2組,對照組39例,行常規粗管胸腔閉式引流,試驗組37例,予帶針導管行微創閉式引流.比較兩組患者臨床有效率、肺複張時間、創口愈閤時間、疼痛程度及併髮癥產生情況.結果 治療有效率試驗組91.9％(34/37),對照組92.3％(36/39);肺複張時間試驗組(5.38±2.21)d,對照組(5.29±2.27)d;兩組比較差異均無統計學意義(P＞0.05).引流期間疼痛評分試驗組(1.32±0.92)分,對照組(2.93±1.14)分;拔管後傷口愈閤時間試驗組(2.13±1.40)d,對照組(5.32±1.78)d,兩組比較差異均有統計學意義(P＜0.01).試驗組皮下氣腫、脫管、切口感染等併髮癥較對照組明顯減少.結論 帶針導管微創閉式引流治療自髮性氣胸,引流效果好,手術操作簡單、創傷小,傷口愈閤時間短,患者痛苦小,值得推廣.
목적 탐토용대침도관행미창흉강폐식인류치료자발성기흉적림상료효.방법 장2011년1월지2013년3월행흉강폐식인류적자발성기흉환자76례안수궤수자표법분성2조,대조조39례,행상규조관흉강폐식인류,시험조37례,여대침도관행미창폐식인류.비교량조환자림상유효솔、폐복장시간、창구유합시간、동통정도급병발증산생정황.결과 치료유효솔시험조91.9％(34/37),대조조92.3％(36/39);폐복장시간시험조(5.38±2.21)d,대조조(5.29±2.27)d;량조비교차이균무통계학의의(P＞0.05).인류기간동통평분시험조(1.32±0.92)분,대조조(2.93±1.14)분;발관후상구유합시간시험조(2.13±1.40)d,대조조(5.32±1.78)d,량조비교차이균유통계학의의(P＜0.01).시험조피하기종、탈관、절구감염등병발증교대조조명현감소.결론 대침도관미창폐식인류치료자발성기흉,인류효과호,수술조작간단、창상소,상구유합시간단,환자통고소,치득추엄.
Objective To investigate the clinical curative effect of closed thoracic drainage by minimal invasive with needle catheter in treating spontaneous pneumothorax.Methods Seventy-six patients with spontaneous pneumothorax were divided into two groups randomly,the control group was treated by traditional thick tube closed thoracic drainage,the experimental group was treated by the needle catheter minimally invasive thoracic closed drainage.Compared clinical curative effect,pulmonary reexpansion time,the wound healing time,the degree of pain and the occurrence of complication between two groups.Results The effective rate of experimental group and control group was 91.9％ (34/37) and 92.3％ (36/39),the pulmonary reexpansion time of experimental group and control group was (5.38 ± 2.21) d and (5.29 ± 2.27) d,there was no significant difference (P ＞ 0.05).The pain scores during draining and wound thealing time of experimental group and control group was (1.32 ±0.92) scores,(2.93 ± 1.14) scores,(2.13 ± 1.40) d and (5.32 ± 1.78) d,there was significant difference (P ＜ 0.01).Complication such as subcutaneous emphysema,dislodgment of the catheter and wound infection in experimental group was lower than that in control group.Conclusions The effect of needle catheter minimally invasive thoracic closed drainage in spontaneous pneumothorax is better,simple and less invasive.The wound healing time is short,and little pain.It is worthy of promotion.
