目的：对比不同部位行胸腔闭式引流治疗自发性气胸的临床效果。方法选取2012年1月至2015年1月收治的自发性气胸患者80例，将行锁骨中线第二肋间置管胸腔闭式引流治疗者设为锁骨中线组（39例），行腋前线第三肋间置管腔闭式引流治疗者设为腋前线组（41例）。治疗后，观察并记录两组患者的手术时间、术中出血量、引流时间、术后（12 h、24 h、48 h、72 h）疼痛程度、住院时间、治愈、中转、并发症（引流管通畅、漏气、脱出、感染、皮下气肿等）等情况。结果锁骨中线组和腋前线组的治愈率、中转率分别为82.05%和85.37%、17.95%和14.63%，差异均无统计学意义（ P >0.05）；两组患者的手术时间、术中出血量、引流时间、住院时间均无显著差异（ P >0.05）；腋前线组术后12 h、24 h、48 h 的疼痛程度均轻于锁骨中线组（ P 0.05）；腋前线组的并发症发生率为14.29%，显著低于锁骨中线组的28.13%（ P 0. 05). The operating time,amount of blood loss,drainage time and hospitalization time between these 2 groups were very close( P > 0. 05);the degree of pain in patients of axillary line group after 12 h,24 h and 48 h was lighter than those of patients in clavicular line group( P 0. 05). The incidence of complications in patients of axillary line group was 14. 29% ,it was significantly lower than that(28. 13% )of patients in mid - clavicular line group( P < 0. 05). Conclusion The treatment of patients with spontaneous pneumothorax treated by drainage at second intercostal clavicle midline anterior axillary line or third intercostal chest drainage have good effect,but the advanta-ges of intercostal thoracix drainage catheter at third axillary line have less postoperative pain and few complications,hence this kind of clinical ap-plication can be considered.
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