多孔深静脉导管用于胸腔闭式引流治疗自发性气胸30例分析

A 30 cases Analysis Study of Multi- hole Deep Vein Canal in Treatment on Spontaneous Pneumothorax by Thoracic Close Drainage.

目的探讨多孔深静脉导管行胸腔闭式引流治疗自发性气胸的临床应用价值。方法行多孔深静脉导管胸腔闭式引流手术治疗自发性气胸30例,并与30例单孔深静脉导管胸腔闭式引流术患者在基本临床资料、疗效、并发症等方面进行比较分析。结果多孔组的痊愈率83.33%(25/30)显著高于单孔组的46.67%(14/30)(P<0.05)。而在总有效率方面,多孔组亦较单孔组有统计学差异(P<0.05),96.67%(29/30)vs 90.00%(27/30)。多孔组管腔堵塞的发生率较单孔组有明显改善(P<0.05),而在完全肺复张所需时间上多孔组恢复时间更短,较单孔组有统计学差异(P<0.05)。多孔组患者在术后无复发及恶化现象,较单孔组有明显优势和改进。结论应用多孔深静脉导管行胸腔闭式引流既保留了单孔深静脉导管的优点,又有效克服了其缺点,值得临床医师推广应用。

Objective To investigate the clinical application values of multi-hole deep vein canal in treatment of spontaneous pneumothorax by thoracic close drainage.Methods Thirty spontaneous pneumothorax patients（multi-hole group） were treated by thoracic close drainage with multi-hole deep vein canal,comparing with another 30 patients（single-hole group）,who were treated by thoracic close drainage with single-hole deep vein canal,were analyzed for basic clinical data,curative effects and complications.Results Fully cured rates of multi-hole group were 83.33% （25/30）,which were obviously higher than those of single-hole group 46.67% （14/30） （P 〈 0.05）.Whlie recovery rates of multi-hole group were 96.67 % （29/30）,which was obviously higher than that of single-hole group 90.00% （27/30） （P 〈 0.05） too.The incidence rates of the lumen blockage in multi-hole group were fewer than those of single-hole group（P 〈 0.05）.While the recovery time of full lung re-expansion in multi-hole group was also shorter than that of single-hole group（P 〈0.05）.Compared with single-hole group,there was no postoperative recurrence and deterioration,obvious advantages and improvements in multi-hole group.Conclusion Multi-hole deep vein canal not only reserved single-hole deep vein canal＇s advantages but also overcame its shortages.Therefore,it is worth being popularized.