Clinical observation of closed thoracic drainage by minimal invasive in treating spontaneous pneumothorax
10.3760/cma.j.issn.1673-4904.2014.25.006
- VernacularTitle:微创胸腔闭式引流治疗自发性气胸的临床研究
- Author:
Jianrong LI
;
Ling LI
;
Ding ZHANG
- Publication Type:Journal Article
- Keywords:
Spontaneous pneumothorax;
Closed thoracic drainage;
Minimal invasive
- From:
Chinese Journal of Postgraduates of Medicine
2014;37(25):16-18
- CountryChina
- Language:Chinese
-
Abstract:
Objective To investigate the clinical curative effect of closed thoracic drainage by minimal invasive with needle catheter in treating spontaneous pneumothorax.Methods Seventy-six patients with spontaneous pneumothorax were divided into two groups randomly,the control group was treated by traditional thick tube closed thoracic drainage,the experimental group was treated by the needle catheter minimally invasive thoracic closed drainage.Compared clinical curative effect,pulmonary reexpansion time,the wound healing time,the degree of pain and the occurrence of complication between two groups.Results The effective rate of experimental group and control group was 91.9％ (34/37) and 92.3％ (36/39),the pulmonary reexpansion time of experimental group and control group was (5.38 ± 2.21) d and (5.29 ± 2.27) d,there was no significant difference (P ＞ 0.05).The pain scores during draining and wound thealing time of experimental group and control group was (1.32 ±0.92) scores,(2.93 ± 1.14) scores,(2.13 ± 1.40) d and (5.32 ± 1.78) d,there was significant difference (P ＜ 0.01).Complication such as subcutaneous emphysema,dislodgment of the catheter and wound infection in experimental group was lower than that in control group.Conclusions The effect of needle catheter minimally invasive thoracic closed drainage in spontaneous pneumothorax is better,simple and less invasive.The wound healing time is short,and little pain.It is worthy of promotion.
