胸部肺CT三维重建术前定位下经不同肋间胸腔闭式引流术精准引流治疗复杂性自发性气胸的疗效观察  

Observation on the Curative Effect of Precise Drainage of Chest Tube Through Different Intercostals in the Treatment of Complex Spontaneous Pneumothorax Under the Preoperative Localization of Chest and Lung CT Iterative Reconstruction

作　　者：郭宗荣 邓燕红 曾婷 周志松 GUO Zong-rong;DENG Yan-hong;ZENG Ting;ZHOU Zhi-song(Yudu County People’s Hospital,Jiangxi Ganzhou 342300)

机构地区：[1]于都县人民医院,江西赣州342300

出　　处：《中国医疗器械信息》2023年第13期74-76,共3页China Medical Device Information

基　　金：赣州市指导性科技计划项目(项目名称:胸部肺CT三维重建术前定位下经不同肋间胸腔闭式引流术精准引流治疗复杂性自发性气胸的疗效观察,项目编号:20222ZDX8842)。

摘　　要：目的:肺部CT三维重建术前定位下经不同肋间胸腔闭式引流术精准引流治疗复杂性自发性气胸的疗效观察。方法:选取2021年5月~2023年1月本院收治的54例复杂性气胸患者作为研究对象,通过病历号数字表抽签法将患者分为观察组(n=27)和对照组(n=27)。对照组患者采用锁骨中线盲插胸腔闭式引流术,观察组采用肺部CT三维重建术前定位下经不同肋间胸腔闭式引流术。对比两组患者手术指标、术后引流效果;对比两组患者并发症发生情况。结果:相较于对照组患者,观察组患者手术时间和胸管置管时间显著更短(P<0.05);相较于对照组患者,观察组患者引流管留置天数、肺复张所需天数和术后住院天数均显著更短(P<0.05);相较于对照组患者,观察组患者VAS评分和并发症发生率显著更低,疼痛持续天数显著更短(P<0.05);相较于对照组患者皮肤受压率29.63%(8/27),观察组患者7.41%(2/27)显著更低(P<0.05)。结论:肺部CT三维重建术前定位下经不同肋间胸腔闭式引流术精准引流治疗复杂性自发性气胸的效果和术后引流效果较高,且并发症发生率较低。Objective:To observe the curative effect of precise drainage through different intercostal thoracic cavities for the treatment of complex spontaneous pneumothorax under preoperative positioning of three-dimensional CT reconstruction of the chest and lungs.Methods:A total of 54 patients with complex pneumothorax admitted to our hospital from May 2021 to January 2023 were selected as research subjects.The patients were divided into experimental group(n=27)and control group(n=27)by using the method of drawing lots on the medical record number table.Patients in the control group were treated with blind insertion of the midclavicular line into the thoracic cavity for closed drainage,while patients in the experimental group were treated with closed drainage through different intercostal spaces under preoperative positioning of three-dimensional CT reconstruction of the chest and lungs.Compare the surgical indicators and postoperative drainage effects between the two groups;Compare the incidence of complications between the two groups.Results:Compared with the control group,the experimental group had significantly shorter surgical time and thoracic tube insertion time(P<0.05);Compared with the control group,the experimental group had significantly shorter drainage tube indwelling days,lung recruitment days,and postoperative hospitalization days(P<0.05);Compared with the control group,the VAS score and complication rate in the experimental group were significantly lower,and the duration of pain was significantly shorter(P<0.05);Compared with 29.63%(8/27)of patients in the control group,7.41%(2/27)of patients in the experimental group had a significantly lower skin compression rate(P<0.05).Conclusion:Precise drainage through different intercostal thoracic cavities under preoperative positioning of three-dimensional CT reconstruction of the chest and lung is effective in the treatment of complex spontaneous pneumothorax,which can effectively shorten the operation time and the time of thoracic tube insertion.The drainage ef

关 键 词：肺部CT 三维重建 胸腔闭式引流术 自发性气胸 

分 类 号：TH774[机械工程—仪器科学与技术]