微创导管穿刺与传统胸腔闭式引流治疗自发性气胸疗效比较

Minimally invasive catheter puncture and traditional closed thoracic drainage for spontaneous pneumothorax

目的探讨微创导管穿刺置入胸腔闭式引流术治疗自发性气胸的有效性、安全性、微创性。方法微创导管穿刺置入胸腔闭式引流19例,传统皮肤切开胸腔闭式引流22例,比较两种手术方式治疗自发性气胸的疗效、并发症及愈后疤痕。结果两组疗效无显著性差异(P>0.05),均显示良好效果;试验组置管时出血、疼痛等并发症少于对照组,愈合疤痕小。结论微创导管穿刺置入术治疗自发性气胸是一种更加简单、安全和同样有效的方法 。

Objective To study the effectiveness, safety and surrounding tissue injury of minimally invasive catheter puncture and closed thoracic drainage for spontaneous pneumothorax. Methods Nineteen patients in the study group underwent closed thoracic drainage by minimally invasive catheter （ pleural cavity drainage kit） puncture. Twenty-two patients in control group underwent closed thoracic drainage by traditional skin incision. The efficacy, complications, and scar of the patients in two groups were compared. Results Efficacy between the two groups had no significant difference （ P 〉 0. 05 ）. The Results were good. The study group, with small healing scar, was superior than the control group in bleeding, pain and other complication. Conclusions Minimally invasive catheter （ drainage of pleural cavity kit） puncture implantation is a simple, safe and effective method for spontaneous pneumothorax.