不同体位胸腔穿刺术超声定位研究

Comparison of Different Body Positions Thoracentesis Under Ultrasound Localization

目的:探讨坐立位与仰卧位胸腔积液行胸腔穿刺术超声定位的应用价值,并对比两者的差异。方法:回顾性分析广西医科大学第一附属医院进行超声定位并进行胸腔穿刺术的胸腔积液患者283例,其中坐立位235例,仰卧位48例,对比两种不同体位的操作成功率。结果:坐立位、仰卧位胸腔穿刺术超声定位操作成功率分别为94.89%(223/235)、93.75%(45/48),差异无统计学意义(P>0.05)。结论:坐立位与仰卧位均可进行胸腔穿刺术超声定位,对于急危重症、不方便坐立位的胸腔积液患者可考虑取仰卧位进行。

Objective To investige the application value of ultrasound localization of thoracentesis for pleural effusion within sitting and supine position, and compare their differences. Methods Retrospectively analysis of ultrasound-guided horacentesis was performed in 283 cases of patients, in-which 235 and 48 cases were divide into sitting and supine group, respectively. Their thoracentesis success rates were compared. Results The thoracentesis success rate in sitting and supine group was 94.89 %（223/235）, 93.75 %（45/48）, respectively. There was no statistically significant difference（P 〉 0.05）. Conclusion Both sitting and supine position pleural effusion thoracentesis can be performed successfully under ultrasound localization. For those critical patients who are not convenient to sitting, supine position pleural effusion thoracentesis may be appropriate for them.