改良细导管引流治疗胸腔积液的临床研究

目的观察和评价改良细导管胸腔内置管引流治疗胸腔积液的疗效和安全性。方法将81例患者随机分为治疗组(A组)和对照组(B组),A组采用自制穿刺针及细导管穿刺置管引流,B组采用传统胸穿抽液。比较两组病人的基本临床资料、疗效和并发症。结果治疗组与对照组相比,在胸液引流量、胸液消失天数、住院平均天数、胸膜肥厚、胸膜粘连包裹等方面差异有统计学意义(P<0.01);而在血气胸、穿刺晕针等不良反应的发生率方面差异无统计学意义(P>0.05),但对照组的发生率高于治疗组。结论改良细导管胸腔引流术操作简便、取材方便、疗效可靠、并发症少,值得基层医院推广。

Objective To evaluate the clinical effects and safety of closed drainage of thoracic cavity with improved small catheter in the treatment of pleural effusion.Methods 81patients with pleural effusion were randomly assigned to tow groups ： treated group （Group A） and control group （Group B）.Group A was treated by closed drainage of pleural cavity through self-made puncture needle and small catheter.Group B was treated by thoracentesis.We compared the basic clinical data,efficacy and complications.Results There was remarkable difference on volume of the drainage,time of pleural effusion disappear,duration of hospitalization,pleural thickness and encapsulated pleurisy between Group A and B （P0.01）.There was no remarkable difference on complications between Group A and B （P0.05）.Conclusion this approach has a series of advantages such as simple operation,convenience,economic reliability,less complications.The technique was worthy to be widely used.