超声引导穿刺应用于胸腔积液穿刺的效果

Effect of ultrasound-guided puncture for pleural effusion

目的探讨超声引导应用在胸腔积液穿刺中的效果。方法回顾性分析2014年2月~2016年12月70例因胸腔积液需做穿刺液体进行化验检查的患者临床资料,采用随机双盲原则将70例胸腔积液患者分为对照组与观察组,各35例。其中对照组采用临床常规胸腔穿刺法进行半盲穿刺;观察组采用超声引导行胸腔积液穿刺。统计两组患者穿刺成功率和并发症。结果观察组穿刺成功率为100.0%,明显高于对照组85.71%(χ2=5.38,P=0.02);观察组穿刺并发症率为2.86%,明显低于对照组20.00%(χ~2=5.08,P=0.02)。结论超声引导应用于胸腔积液穿刺中可提高穿刺成功率,减少穿刺并发症,提高穿刺安全性,因此该方法值得推广应用。

Objective To explore the effect of ultrasound-guided puncture for pleural effusion.Methods Clinicaldata of70patients with pleural effusion who need to be examined by puncture fluid from February2014to December2016were retrospectively analyzed.They were randomly divided into control group and observation group with35cases in each accor ding to randomized double-blind principle.In the control group,the clinical routine chest puncturemethod was used to carry out the blind puncture.Patients in observation group were treated with ultrasound-guidedpleural effusion puncture.Successful rate and complication of puncture of the two groups were compared.ResultsThe successful rate of puncture in observation group was100.0%,higher than that in control group85.71%(χ2=5.38,P=0.02).The complication rate of the observation group was2.86%,which was significantly lower than that of thecontrol group20.00%(χ2=5.08,P=0.02).Conclusion Ultrasound guided puncture of pleural effusion can improvethe successful rate of puncture,reduce complications of puncture,and improve puncture safety.Therefore,this methodis worth popularizing.