猪尾巴导管行胸腔闭式引流术在急诊自发性气胸的临床应用

Line pigtail catheter pleural closed drainage in emergency clinical application of spontaneous pneumothorax

目的:通过对3种不同胸腔闭式引流术在治疗自发性气胸的疗效对比分析评价猪尾巴导管治疗自发性气胸的临床效果。方法:回顾性分析我院90例自发性气胸患者,根据不同手术方式分为3组,粗硅胶管组、中心静脉导管组及猪尾巴导管组。对3组疗效、并发症等方面进行比较分析。结果:猪尾巴导管组在肺复胀时间和肺复张成功率方面与硅胶管组比较差异无统计学意义,明显优于中心静脉导管组(P<0.05),堵管发生率显著低于单腔中心静脉导管组,差异具有统计学意义(P<0.05)。猪尾巴导管在并发症发生率较粗硅胶管组明显降低,拔管时间、住院时间较粗硅胶管组及中心静脉导管组明显缩短(P<0.05)。结论:猪尾巴导管行胸腔闭式引流治疗自发性气胸与传统硅胶管引流疗效相当,明显优于中心静脉导管,带管舒适度及并发症方面明显优于粗硅胶管,值得临床推广应用。

Objective：To analyze the three kinds of thoracic cavity closed drainage contrast analysis and evaluate the pigtail catheter line for treatment of spontaneous pneumothorax.Method：Retrospective analysis of 90 cases of spontaneous pneumothorax patients,who were divided into three groups according to different operation ways：thick group of silicone tube,central venous catheter and pigtail catheter group.The curative effect and complications in patients were analyzed.Result：There was no statistically significant difference for the lungs swelling time in Pigtail catheter group compared with silicone tube group,which is superior to central venous catheter group（P〈0.05）.The incidence of blocking pipe is significantly lower than central venous catheter group,which has statistically significant difference（P〈0.05）.Conclusion：Line pigtail catheter pleural closed drainage is superior to central venous catheter and traditional silicone tube drainage in the treatment of spontaneous pneumothorax,which may bring comfort and complications and are worthy of clinical popularization and application.