医学研究与教育 ›› 2013, Vol. 30 ›› Issue (2): 30-33.

• 临床研究 • 上一篇    下一篇

微创胸腔闭式引流治疗气胸的临床疗效

杨卫1,杜宇1,陈晔1,闫琦1,张泽明1   

  1. 河北大学附属医院呼吸内科,河北 保定 071000
  • 收稿日期:2016-10-09 修回日期:2016-10-09 出版日期:2013-04-25 发布日期:2013-04-25

clinical observation on mic-operation in treating pneumothorax

  • Received:2016-10-09 Revised:2016-10-09 Online:2013-04-25 Published:2013-04-25

摘要: 目的研究经微创胸腔闭式引流治疗自发性气胸的临床效果及并发症.方法将90例自发性气胸患者随机分为3组,研究组采用微创胸腔闭式引流术法治疗,对照A组采用传统的胸腔闭式引流术治疗,对照B组采用胸腔穿刺抽气法治疗.结果研究组与对照A组治疗效果差异无统计学意义,明显优于对照B组;研究组在术后并发症、住院时间等方面优于对照A组.结论微创胸腔闭式引流术治疗气胸操作简单、损伤小、术后胸痛时间短、能明显减少手术并发症、肺复张时间和住院时间.

关键词: 微创, 胸腔闭式引流, 自发性气胸

Abstract: Objective To examine clinical value and complication of treating pneumothorax by using central venous catheter. Methods Ninety cases of spontaneous pneumothorax were divided into 3 equal groups randomly: Research group, treated with pleural drainage by using central venous catheter. Control group A, treated with closed thoracic drainage. Control group B, drainage with thoracentesis once a day. Results The curative effect of research group was similar with that of the control group A, better than group B evidently. The complications of surgery and the average time of duration hospitalization in research group were less than that of the control group A. conclusion The treatment of spontaneous pneumothorax is a satisfactory remedy with easy operation less side effect fewer complication and duration chest pain compared with that of the traditional methods.

Key words: micro-operation, thoracic closed drainage, spontaneous pneumothorax

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