微创胸腔闭式引流治疗自发性气胸的疗效分析

Curative effect of minimally invasive thoracic drainage on spontaneous pneumothorax

目的:探讨微创中心静脉导管行胸腔闭式引流治疗自发性气胸的临床疗效。方法:2013年1月至2015年10月在我院就诊的初次发作的自发性气胸56例,随机分为观察组和对照组,每组28例,观察组采用中心静脉导管行胸腔闭式引流,对照组采用24或26号"蘑菇头"硅胶管行胸腔闭式引流,对比分析2组疗效、并发症、症状缓解时间、带管时间、住院时间及住院费用。结果:观察组疗效、症状缓解时间、带管时间、住院时间与对照组无显著性差异(P>0.05),观察组并发症发生率及住院费用均明显低于对照组(P<0.05)。结论:微创中心静脉导管行胸腔闭式引流治疗自发性气胸疗效好,操作简单,创伤小,并发症少,住院费用低,患者易于接受,值得临床选择性推广。

Objective： To investigate the curative effect of minimally invasive thoracic drainage on spontaneous pneumothorax. Methods： From January 2013 to October 2015,56 cases of the first attack of spontaneous pneumothorax were randomly divided into observation group and control group,28 cases in each group. The observation group was treated with central venous catheter for thoracic closed drainage,and the control group was treated with silicone tube of type 24 or 26 mushroom head for closed thoracic drainage. Comparisons were made in curative effect,complications,symptom relief time,tube-bearing time,hospitalization time and hospitalization expenses between the two groups. Results： There were no significant differences in the symptom relief time,the tube-bearing time and the hospitalization time between the two groups（ P〉0. 05）.The complication incidence and hospitalization expenses of the observation group were significantly lower than those of the control group（ P〈0. 05）. Conclusion： Minimally invasive central venous catheter for thoracic closed drainage in the treatment of spontaneous pneumothorax is of good curative effect,simple operation,less trauma,less complications and low hospitalization costs. It is easy to be accepted by patients and worthy of clinical promotion.