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目的对比经皮胸穿刺置管术与传统胸腔穿刺抽液术治疗胸腔积液的效果。方法选取收治的中大量胸腔积液患者70例,采用随机数字对照表将患者分为对照组和观察组,对照组予以传统胸腔穿刺抽液术治疗,观察组予以经皮胸腔穿刺置管术治疗,记录两组每次手术时间、穿刺次数、胸腔积液消失时间,评估治疗效果,并记录并发症发生率。结果观察组胸腔积液控制有效率为97.14%,较对照组80.0%高,观察组并发症发生率为17.14%,较对照组54.29%低,差异具有统计学意义(P<0.05);观察组平均穿刺次数、胸腔积液消失时间、住院时间、3个月后胸膜厚度分别为(35.06±4.08)次、(7.10±1.59)d、(8.27±1.37)d、(1.24±0.31)mm,均较对照组低,差异具有统计学意义(P<0.05)。结论经皮胸腔穿刺置管术治疗胸腔积液,能够减少穿刺次数,降低术后并发症发生率,提高治疗效果。
Objective To compare the effect of percutaneous thoracentesis and conventional thoracentesis in the treatment of pleural effusion. Methods A total of 70 patients with pleural effusion were selected. The patients were divided into control group and observation group by random number table. The control group was treated by conventional thoracentesis and drainage. The observation group was treated by percutaneous thoracentesis The time of each operation, the number of punctures and the disappearance of pleural effusion were recorded. The therapeutic effect was evaluated and the incidence of complications was recorded. Results The effective rate of control of pleural effusion in observation group was 97.14%, which was higher than 80.0% in control group. The incidence of complications in observation group was 17.14%, which was lower than that in control group (54.29%), the difference was statistically significant (P <0.05) The average number of puncture, disappearance of pleural effusion and hospital stay were (35.06 ± 4.08), (7.10 ± 1.59) days, (8.27 ± 1.37) days and (1.24 ± 0.31) days, respectively Lower than the control group, the difference was statistically significant (P <0.05). Conclusion Percutaneous thoracentesis for the treatment of pleural effusion can reduce the number of punctures, reduce the incidence of postoperative complications and improve the therapeutic effect.