移植深静脉插管术用于胸腔积液的置管引流和灌注治疗

The use of transplant deep venose tube in the drainage and perfusion treatment of pleural effusion

目的探讨更为安全有效、易于推广的胸腔积液的穿刺及治疗方法。方法采用深静脉插管技术对胸腔积液患者作胸腔穿刺 ,置入导管引流积液并灌注药物治疗。结果本方法 96例与传统钢针穿刺法 6 8例比较 ,在并发气胸、遗留明显胸膜增厚粘连的发生率和积液完全清除率 (% )分别为 0 / 2 2 .0 6 (P <0 .0 1)、2 8.13/ 4 5 .5 9(P <0 .0 5 )和 86 .4 6 / 5 4 .4 1(P <0 .0 1)。结论深静脉插管技术用于胸腔积液的穿刺置管引流并灌注治疗 ,取材简便易行 ,较传统钢针穿刺法更安全 ,疗效更显著。

Objective To look for the safe and effective method of pleurocentesis and treatment . Methods Pleurocentesis was performed in the patients with pleural effusion by deep venose inserting technique, meanwhile the tube was inserted for drainage of effusion and perfusion treatment. Results 96 cases treated by this way were compared with 68 cases treated by traditional steel needle puncture. The rates of pneumothorax, adhesive pleurisy, and complete clearance of pleural effusion were 0/22.06(P<0.04, 28.13/45.59(P<0.05), and 86.45/54.41(P<0.01), respectively. Conclusion This method is simple to maripulate, safe and effective, compared with traditional steel needle puncture.