肿瘤患者胸腹腔彩超定位穿刺和常规穿刺点穿刺临床效果比较

目的比较胸腹腔穿刺选取常规穿刺点穿刺和彩超定位后穿刺2种方法的并发症、穿刺成功率、花费、引流是否通畅、经济学效益等多方面。方法：将2015年3月-2015年12月期间在肿瘤科住院符合入组条件的178名患者进行随机数字分组．分为常规穿刺组和彩超定位穿刺组。按照这2种方法对患者进行穿刺操作。并记录患者穿刺是否成功、有无并发症、不良事件、花费多少、引流是否通畅，最终对2种不同操作进行经济学分析。结果：2组在成功率、并发症、不良事件、引流是否通畅这四方面并无差异。但平均花费上常规穿刺组比彩超定位组更低。结论：对于没有特殊情况需要进行胸腹腔穿刺的普通患者，不必选择超声定位胸腹腔穿刺。

Objective To compare success rate, cost, complication and economic benefit of thoracocentesis andabdominocentesis with or without ultrasonic location.Methods： 178 patients who were admitted to Mianyang central hospitalduring March 2015 to December 2015 met the inclusion criteria were divided into routine puncture group or ultrasoundguided puncture group randomly. Success rate, cost, adverse event and complication were recorded separately in both groupsthen economic benefit was analyzed. Results there was no difference in routine puncture group and ultrasound guidedpuncture group on Success rate, complication ,occlusion and adverse event but less cost in routine puncture group. Conclusionit＇s no necessary to be ultrasound guided before puncture in normal patients.