双腔气囊尿管闭式引流治疗COPD并自发性气胸  

Treatment of chronic obstructive pulmonary disease complicated with spontaneous pneumothorax by closed pleural drainage via double cavity catheter

作　　者：吕忠柱 石睿 刘朝伦 

机构地区：[1]璧山县人民医院胸外科 [2]解放军96217部队

出　　处：《局解手术学杂志》2012年第3期277-278,共2页Journal of Regional Anatomy and Operative Surgery

摘　　要：目的观察双腔气囊尿管治疗慢性阻塞性肺疾病(COPD)并自发性气胸的疗效。方法将106例COPD合并自发性气胸患者随机分为A、B两组,A组53例行双腔气囊尿管闭式引流,B组53例行传统粗硅胶管闭式引流。观察两组置管手术时间、置管引流持续时间、术后疼痛指数、引流管脱落、阻塞、皮下气肿发生率等情况,并进行比较。结果双腔气囊尿管组在治愈率、置管引流持续时间、引流管脱落等方面与传统硅胶管组无明显差异。而在置管手术时间、术后疼痛指数及皮下气肿发生等方面却明显优于传统硅胶管组。结论双腔气囊尿管治疗COPD合并自发性气胸具有手术置管快捷,病人耐受性好,术后并发症少等优点,可常规作为COPD合并气胸治疗的首选方法。Objective To observe the efficacy of treating chronic obstructive pulmonary disease（COPD）complicated with spontaneous pneumothorax with double cavity catheterand.Methods Totally 106 patients of COPD complicated with spontaneous pneumothorax were randomly divided into group A（n=53）and group B（n=53）.The patients in group A underwent closed pleural drainage via double cavity catheter while those in group B underwent closed pleural drainage via traditional silicone chest tube.The catheterization time,tube retaining time,post-operation pain index,incidences of the falling off and obstruction of the tube and occurrences of subcutaneous emphysema were observed and compared.Results There was no obvious difference in the curative rate,tube retaining time and incidences of falling off between double cavity catheter and traditional silicone chest tube.However,double cavity catheter yielded better results in the catheterization time,post-operation pain index and occurrences of subcutaneous emphysema.Conclusion With the advantages of shorter catheterization time,better tolerance,similar curative effects and fewer complications,double cavity catheter is superior to traditional silicone chest tube in treating COPD complicated with spontaneous pneumothorax.

关 键 词：自发性气胸 慢性阻塞性肺疾病 双腔气囊尿管 胸腔闭式引流 

分 类 号：R561.4[医药卫生—呼吸系统]