微创胸腔闭式引流在内科胸腔镜检查中的研究

Study of minimally invasive closed drainage of pleural cavity in medical thoracoscopy

目的探讨微创胸腔闭式引流在内科胸腔镜检查中的应用价值。方法将64例胸腔积液患者随机分为实验组和对照组。实验组采用细针穿刺胸膜腔内置入双腔中心静脉导管行闭式引流(抽液及人造气胸),胸腔镜检查后直接缝合切口。对照组先进行胸腔穿刺抽液后人造气胸,胸腔镜检查后经Trocar置入常规硅胶管行闭式引流。比较两组治疗效果、住院时间、住院费用。结果实验组比对照组在胸腔镜检查住院时间缩短、住院费用降低(P<0.05),两组治疗效果相近(P>0.05)。结论微创胸腔闭式引流在胸腔镜检查中改进操作流程且操作步骤简单,住院时间缩短、住院费用降低。

Objective To explore the application methods and value of minimally invasive chest closed drainage in the examination of thoracicoscopy in internal medicine.Methods 64 patients with chest fluid were randomly divided into experimental group and control group,and the experimental group used a fine needle to penetrate the pleural cavity built into the two-cavity center venous catheter line closed drainage(pumping fluid and artificial gas chest),after chestoscopy Direct stitching incision,the control group first carried out chest puncture pumping fluid after artificial gas chest,chest mirror examination after Trocar placed in the conventional silicone tube line closed drainage,in the treatment effect,hospitalization time,hospitalization costs compared.Results The experimental group had shorter hospitalization time and decreased hospitalization costs(P<0.05),and the treatment effect of the two groups was similar(P>0.05).Conclusion Minimally invasive chest closed drainage improves the operation process in the treatment of intra-medical thoracic examination,and the operation steps are simple.The the hospitalization time is shortened,and the hospitalization costs are reduced.