微创胸腔插细管持续引流术的临床应用研究

Clinical Application of Constant Drainage with Microtraumatic Intrathoracic Tubule

目的:通过论证胸腔插细管持续引流术的临床应用的可行性,能使成型的新技术在临床上广泛使用.方法:胸腔插细管持续引流组(I组)、分次胸腔穿刺抽液引流组(II组)、胸腔置入硅胶管(15mm)引流组(III组),进行比较研究.结果:Ⅰ组与Ⅱ组、Ⅲ组比较,胸水吸收快、住院时间短(P<0.05),并发症发生率低(P<0.01).结论:国内外胸腔积液发生率极高,积液的引流采用微创胸腔插细管持续引流术相对于分次胸腔穿刺抽液引流法、胸腔置入硅胶管引流法有胸水吸收快、住院时间短、并发症发生率低、继发感染率低等特点.

Objective：To discuss the feasibility of constant drainage with mircotraumatic intrathoracic tubule and make it applicable in clinical activity. Methods： The effect of constant drainage with microtraumatic intrathoracic tubule （group Ⅰ ）, thoracentesis and drainage （group Ⅱ ） and thoracic drainage via silicon rubber（group Ⅲ ） was compared. Results：The quicker absorption of hydrothorax（P 〉0.01）, shorter length of stay （P 〈 0.05） and lower incidence of complications （group Ⅰ ） were shown compared with those of group Ⅱ and Ⅲ. Conclusion： The new methods has the advantages of quick absorption of hydrothorax, short length of stay and low incidence of complications and secondary infection.