心胸外科治疗创伤性气胸疗效分析

The Clinical Analysis of Traumatic Pneumothorax Treatment in Cardiothoracic Surgery

目的:分析心胸外科治疗创伤性气胸的疗效,为提高治疗效果提供参考依据。方法:选取2010-2012年本院胸外科收治的96例患者为研究对象,经临床诊断确诊均为创伤性气胸,并采用随机数字表法将患者分为治疗组与对照组,每组各48例。对照组采用传统的胸腔闭式引流术治疗,治疗组则采用微创胸腔闭式引流术进行治疗,对比两组患者治疗效果。结果:治疗后,治疗组显效35例,有效9例,总有效率为91.67%;对照组显效31例,有效7例,总有效率为79.17%,两组比较差异有统计学意义(P<0.05)。结论:心胸外科在创伤性气胸的治疗上,采用微创胸腔闭式引流术有更好的效果,值得在临床上推广使用。

Objective： To analyze therapeutic effect of traumatic pneumothorax in cardiothoracic surgery, to provide a reference for improving therapeutic effect . Method： 96 cases of traumatic pneumothorax were confirmed in thoracic surgery of our hospital from 2010 to 2012 as the research object, and were divided into treatment group and control group according to random number table method, 48 patients in each group. The control group were used traditional closed thoracic drainage. The treatment group were used minimally invasive treatment of closed thoracic drainage. The therapeutic effect of two groups＇ patients were compared. Result： After the treatment, 35 cases were markedly effective and 9 cases were effective in the treatment group, the total effective rate was 91.67%. In the control group, 31 cases were markedly effective and 7 cases were effective, total effective rate was 79.17%. The difference was statistically significant （ P〈0.05 ） . Conclusion： The treatment of traumatic pneumothorax in cardiothoracic surgery, minimally invasive thoracic drainage has better results, worthy to use in clinical practice.