微创气胸引流术方法的临床研究  

Clinical study on micro-operation in patients with closed pneumothorax

作　　者：梅爱红[1] 钱巧慧[2] 沈春明[3] 颜正茂[1] 

机构地区：[1]同济大学附属第十人民医院呼吸科,上海200072 [2]同济大学医学院,上海200092 [3]江苏省吴江市第一人民医院感染科,江苏吴江215200

出　　处：《同济大学学报（医学版）》2007年第6期59-60,64,共3页Journal of Tongji University(Medical Science)

摘　　要：目的比较微创法与细硅胶管切开引流法行胸腔闭式引流治疗单侧闭合性气胸的疗效和并发症。方法51例患者行微创法(经鼻导管)闭式法引流,24例患者经硅胶管闭式引流,观察疗效和并发症。结果微创法与细硅胶管切开引流法行胸腔闭式引流治疗单侧闭合性气胸的疗效相近,无显著差异;但经微创引流治疗气胸的并发症少。结论微创引流治疗气胸的并发症少,痛苦小、操作简便、舒适经济的方法。Objective To compare the curative effects and complications in treating one side closed pneumothorax through thoracic closed drainage by using nose tube or by using thin silica gel catheter. Methods Fifty-one cases of one side closed pneumothorax had micro-operations with drainage （through nose tube）, while 24 cases under same conditions also had the thoracic closed drainage through thin silica gel catheter after intercostal incision. Their therapeutic effects and complications were investigated. Results Their curative effects were similar without obvious differences, but the thoracic closed drainage through nose tube without incision had less complications. Conclusion The treatment of one side closed pneumothorax through thoracic closed drainage by using nose tube is a satisfactory remedy with less side effect, simple, less costy, more comfortable and fewer complications.

关 键 词：闭合性气胸 胸腔闲式引流术 微创法 

分 类 号：R563.5[医药卫生—呼吸系统]