CAJ | 학술논문

目的：探讨 B 超引导下放置小孔引流管治疗恶性胸腔积液的可行性。方法选确诊的恶性胸腔积液患者99例，随机分成两组。B 超小孔引流管组（n =53）在 B 超引导沿肋间或下肋上缘垂直将12- Fr 胸腔引流管放入胸膜腔；常规大孔引流管组（n =46）CT、胸片定位，沿肋间或下肋上缘垂直将20- Fr 胸腔引流管放入胸膜腔。连接胸腔引流瓶，引流液减少至50~100 ml/ d，拔出引流管，应用榄香烯乳100 ml 行胸膜黏连术。对比观察两组的临床效果、操作时间、并发症和副作用。结果 B 超小孔引流管组操作时间短于常规大孔引流管组，差异有显著性（ P ﹤0.05），两组总有效率、引流管放置时间、住院时间、并发症发生率无显著差异（ P ﹥0.05）。结论 B 超引导下放置小孔胸腔引流管治疗恶性胸腔积液具有创伤小、操作简便安全、疗效肯定等优点，可作为临床上微创治疗恶性胸腔积液的一种方法使用。
목적：탐토 B 초인도하방치소공인류관치료악성흉강적액적가행성。방법선학진적악성흉강적액환자99례，수궤분성량조。B 초소공인류관조（n =53）재 B 초인도연륵간혹하륵상연수직장12- Fr 흉강인류관방입흉막강；상규대공인류관조（n =46）CT、흉편정위，연륵간혹하륵상연수직장20- Fr 흉강인류관방입흉막강。련접흉강인류병，인류액감소지50~100 ml/ d，발출인류관，응용람향희유100 ml 행흉막점련술。대비관찰량조적림상효과、조작시간、병발증화부작용。결과 B 초소공인류관조조작시간단우상규대공인류관조，차이유현저성（ P ﹤0.05），량조총유효솔、인류관방치시간、주원시간、병발증발생솔무현저차이（ P ﹥0.05）。결론 B 초인도하방치소공흉강인류관치료악성흉강적액구유창상소、조작간편안전、료효긍정등우점，가작위림상상미창치료악성흉강적액적일충방법사용。
Objective To determine the efficacy and safety of small - bore chest tubes(SBCT)with ultrasound - guided for treating pa-tients with malignant plural effusion. Methods Ninety - nine patients with malignant plural effusion were divided into two groups:SBCTs group (n = 53)and large - bore chest tubes(LBCT)group(n = 46). After drainage,pleurodesis was performed with Elemene injection. Results The effect of patients with malignant plural effusion group were similar to those with routine puncturing group,but the side effects and complications of SBCTs group were lower than those of routine puncturing group. The SBCTs group could improve the quality of the patients′ life. Conclusion SBCT with ultrasound guidance is simple and effective in treating patients with malignant plural effusion. Not only does SBCTs cause minimal trau-ma but also improve the quality of the patients′ life.