摘要
[摘要 ] 目的 为了进一步提高自发性气胸的治疗效果，分析和探讨采取微创导管穿刺与传统胸腔闭式引流治疗的价值和意义。方法 根据患者住院先后顺序从 2018年 1月— 2019年 1月来该院治疗的自发性气胸患者中方便选取 80例作为研究对象并根据随机双盲对照的原则要求将其分为试验组和对照组，每组患者 40例，其中试验组患者采取微创导管穿刺方案治疗，而对照组患者则采取传统胸腔闭式引流方案治疗，比较不同治疗方案的疗效差异。结果 经过统计分析发现，两组均能取得一定的治疗效果，但和对照组治疗总有效率 70.00%（ 28例），相比，试验组患者治疗的总有效率 90.00%（ 36例）显著增加，且两组比较差异有统计学意义（ P<0.05）；和对照组相比试验组患者肺复张时间、术后胸痛时间、手术时间、切口长度以及住院时间明显占据优势，且两组比较差异有统计学意义（ P<0.05）。结论 自发性气胸患者采取微创导管穿刺方案治疗，操作简单，安全性高，效果明显，值得借鉴推广。
[关键词 ] 自发性气胸；胸腔引流术；微创导管；临床疗效
[Abstract] objective to further improve the therapeutic effect of spontaneous pneumothorax, to analyze and discuss the value and significance of minimally invasive catheter puncture and traditional closed thoracic drainage. method According to the sequence of hospitalization, 80 cases of spontaneous pneumothorax treated in the hospital from January 2018 to January 2019 are conveniently selected as the research object and divided into the experimental group and the control group according to the principle of randomized double-blind control. Each group has 40 patients, of which the experimental group is treated with minimally invasive catheter puncture scheme, while the control group is treated with traditional closed thoracic drainage method The curative effect of different treatment schemes was compared. result After statistical analysis, it was found that the two groups could achieve certain therapeutic effect, but compared with the control group, the total effective rate of the treatment group was 70.00% (28 cases), the total effective rate of the treatment group was 90.00% (36 cases), and the difference between the two groups was statistically significant (P < 0.05); compared with the control group, the experimental group had a longer time of lung re expansion, postoperative chest pain, operation and incision The degree and length of stay of the two groups had significant difference (P < 0.05). Conclusion the treatment of spontaneous pneumothorax with minimally invasive catheterization is simple, safe and effective.
出版日期
2020年09月27日（中国期刊网平台首次上网日期，不代表论文的发表时间）
