微创胸腔内闭式引流技术治疗创伤性气胸的临床疗效及安全性分析  

Clinical Efficacy and Safety Analysis of Minimally Invasive Closed Thoracic Drainage in Treatment of Traumatic Pneumothorax

作　　者：肖勇武 姜赵华 Xiao Yong-wu;Jiang Zhao-hua(Dunhuang Municipal Hospital,Dunhuang 736200,Gansu Province,China)

机构地区：[1]甘肃省敦煌市医院,甘肃敦煌736200

出　　处：《中国社区医师》2022年第3期25-27,共3页Chinese Community Doctors

摘　　要：目的:分析微创胸腔内闭式引流技术治疗创伤性气胸的临床效果及安全性。方法:2017年1月-2020年1月甘肃省敦煌市医院急诊科收治创伤性气胸患者80例,随机分为两组,各40例。对照组应用常规胸腔闭式引流术治疗,研究组应用微创胸腔内闭式引流术治疗,比较两组治疗效果。结果:研究组术后不同时间段视觉模拟评分及不良反应发生率均低于对照组,差异有统计学意义(P<0.05);两组引流带管时间、肺复张时间及治愈率比较,差异无统计学意义(P>0.05)。结论:创伤性气胸患者采用微创胸腔内闭式引流技术治疗的效果显著,术后疼痛轻微,不良反应发生率较低。Objective:To analyze the clinical effect and safety of minimally invasive closed thoracic drainage in the treatment of traumatic pneumothorax.Methods:From January 2017 to January 2020,80 patients with traumatic pneumothorax who were admitted to Emergency Department,Dunhuang Municipal Hospital were randomly divided into two groups with 40 cases in each group.The control group was treated with conventional thoracic closed drainage.The study group was treated with minimally invasive closed thoracic drainage.The therapeutic effects of the two groups were compared.Results:In the study group,the visual analogue score and the incidence of adverse reactions at different time after operation were lower than those in the control group,the difference was statistically significant(P<0.05).There was no significant difference in drainage tube time,lung re-expansion time and cure rate between the two groups(P>0.05).Conclusion:The effect of minimally invasive closed thoracic drainage in patients with traumatic pneumothorax is significant,with mild postoperative pain and low incidence of adverse reactions.

关 键 词：微创 胸腔内闭式引流 创伤性气胸 

分 类 号：R655[医药卫生—外科学]