摘要
目的在改良胸腔套管针引导下,胸腔内置入可冲洗引流管治疗脓胸,并与双腔球囊导尿管相对照,评价其疗效及安全性。方法46例脓胸患者随机分为两组。在引流管侧释放套管针引导下,A组:胸腔内置入双腔球囊导尿管治疗脓胸。B组:胸腔内置入可冲洗胸腔引流管治疗脓胸。结果3周后A组有效15人(65%),B组19人(83%),两组间疗效有统计学差异(P<0.05)。A组:引流管堵塞5例,包裹性脓胸6例,B组分别1例和2例(P<0.05)。结论应用引流管侧释放套管针,胸腔内置入可冲洗胸腔引流管治疗脓胸是一种更加安全、有效和同样简单的新方法。
Objective To evaluate the effect and safety of empyema therapy by inserting two different drainage tubes into pleural cavity which were released by the side groove of thoracic trocar. Methods All of 46 cases with empyema were divided into two groups. Patients in Group A were implanted double-lumen balloon urinary catheter via chest wall. Patients in Group B were implanted irrigatable drainage tube also via chest wall. Results 15 cases were effective in Group A and 19 cases in Group B （ P 〈 0.05 ）. The numbers of urinary tube blocking and empyema encapsulating were 5,6 cases in Group A, but in group B the respective numbers were 1 and 2 cases （ P 〈 0. 05 ）. Conclusion The method of treating empyema by implanting irrigatable drainage tube is safer, more effective and also simpler.
出处
《临床肺科杂志》
2008年第1期21-22,共2页
Journal of Clinical Pulmonary Medicine
关键词
脓胸
引流管
导尿管
治疗
empyema
drainage tube
urinary catheter
treatment
