不同胸腔闭式引流术治疗自发性气胸的疗效比较

摘要

Objective:To compare the clinic effectiveness and complications of the thoracic closed drainage operation with double balloon catheter or central venous catheter on treating spontaneous pneumothorax .Methods:The 70 patients with spontaneous pneumothorax were randomly divided into treatment group ( 35 cases ) and control group ( 35 cases ) .The treatment group had been given the thoracic closed drainage operation with double balloon catheter; and the control group had been given the thoracic closed drainage operation with central venous catheter .And compared to operation duration time , therapeutic effectiveness and complications and so on .Results:The general effect , operation duration , catheter stay , hospital stay , postoperative pain , postoperative chest infection rate and operation cut infection rate were no statistics difference in two gtoups ( P>0.05) .Conclusion:The therapeutic effectiveness of the thoracic closed drainage operation with double balloon catheter and the thoracic closed drainage operation with central venous catheter were the same .However , the thoracic closed drainage operation with double balloon catheter had much advantages ,such as simply operation ,convenient materials ,less complications and lower hospital bill .%目的：比较使用双腔气囊导尿管和中心静脉导管行胸腔闭式引流治疗自发性气胸的临床效果及并发症。方法：对收治的70例自发性气胸患者，按就诊顺序随机分为治疗组35例和对照组35例。治疗组采用双腔气囊导尿管行胸腔闭式引流术。对照组采用中心静脉导管行胸腔闭式引流术。比较2组患者手术时间、疗效及并发症等。结果：2组在手术时间、总体有效率、留管时间、住院时间、术后疼痛程度、术后胸腔感染率、切口感染率等方面比较无显著性差异（ P＞0.05）；2组患者术后并发症中管腔堵塞、脱管、皮下气肿发生率及住院费用比较有显著性差异（P＜0.05），治疗组优于对照组。结论：使用双腔气囊导尿管和中心静脉导管行胸腔闭式引流术治疗效果相同，但使用双腔气囊尿管行胸腔闭式引流术具有操作简单、取材方便、并发症少、住院费用少的优点。