两种方法治疗外伤性胸膜腔积血的临床研究

Clinical Studies on Minimally Invasive Thoracic Drainage and Conventional Thoracic Closed Drainage in Treatment of Traumatic Hemothotax

目的:评价微创胸腔引流的疗效与安全性。方法:60例外伤性胸膜腔积血(血胸)患者随机分为两组,微创胸腔引流组30例(A组),传统胸腔闭式引流组30例(B组)。比较两组疗效及手术情况。结果:两组在一般情况、有效率差异无显著意义(P>0.05),但两组手术切口长度、术中术后疼痛差异有显著意义,微创胸腔引流组优于传统胸腔闭式引流组(P<0.05)。结论:微创胸腔引流治疗外伤性血胸安全可靠,较传统胸腔闭式引流创伤小。

Objective：To evaluate the safety and efficacy of minimally invasive thoracic drainage in treatment of traumatic hemothotax.Methods：60 patients with traumatic hemothotax were randomly enrolled to minimally invasive thoracic drainage,group（n=30） or conventional thoracic closed drainage（n=30）.comparing curative effect, surgical incision size and pain score between two groups. Results：Operations were successed in all patients.The curative effect was similar without obvious difference between the two groups（P〉0.05）.The incision size and pain score were significant differences（P〈0.05）.Conclusion：Using minimally invasive thoracic drainage to treat traumatic hemothotax is safe.It has little damage.