胸腔置管引流治疗胸腔积液的疗效观察

The Effective Analysis of Catheter Implantation for the Drainage of Pleural Effusion

目的:评价胸腔置管引流治疗胸腔积液的效果和优势。方法:资料完整的97例中大量胸腔积液患者进行回顾性分析。根据治疗方法不同分为胸腔置管引流组(观察组,n=58)和穿刺抽液组(对照组,n=39)。对两组的治疗效果、平均胸水吸收时间、住院时间和并发症的发生率等进行比较分析。结果:胸腔置管的总体有效率显著高于胸腔穿刺抽液(P<0.05);同时可以显著减少胸水的平均吸收时间和住院时间(P<0.05);显著降低传统治疗引起的并发症(P<0.05)。结论:采用胸腔置管引流治疗中大量胸腔积液具有创伤小,治愈率高,并发症少的优点。

Objective：To evaluate the therapeutic effect of catheter implantation for the drainage of pleural effusion. Methods：The medical data of 97 patients with massive pleural effusion were analyzed. The patients were divided into two groups：（1） the observation group （n=58）：the central venous catheter was implanted for the drainage of pleural ef-fusion.（2）the control group（n=39）：the traditional chest puncture was undergone. The differences of therapeutic effect, average absorbed time of pleural effusion, duration of hospital stay, and complications were compared between two groups.Results：therapeutic effect of observation group was significantly higher than control group. The patients in ob-servation group had lower absorbed time of pleural effusion, decreased duration of hospital stay, and lesser complicat ions（P〈0.05）.Conclusion：Catheter implantation for the drainage of pleural effusion is of the advantages of better ther-apeutic effect, minor invasiveness, and lesser complications, which should be suggested as the first line therapeutic strategy for the massive pleural effusion.