摘要
目的:探讨超声引导下两种穿刺置管引流法治疗分隔型胸腔积液临床意义。方法:将形成分隔的胸腔积液患者120例,随机分成两组,观察组,62例,对照组,58例,观察组行PTC针穿刺后,置入J型导丝,利用J型导丝前端弯曲部分及PTC针套管对分隔逐一穿破,置入猪尾巴导管引流。对照组行PTC针穿刺后,利用穿刺针针尖对分隔逐一穿破,置入猪尾巴导管引流。观察两组患者胸水治疗有效率、并发症及住院天数。结果:两组患者并发症和住院天数有明显差异(P<0.05),具有统计学意义。结论:利用J型导丝前端对分隔型胸腔积液行分隔逐一穿破进行胸腔积液置管引流是一种有效、安全的方法。
Purpose:To explore the clinical significance of two kinds of ultrasound-guided puncture and catheter drainage in the treatment of segregated pleural effusion.Methods:120 patients with separated pleural effusion were randomly divided into two groups,the observation group,62 cases,and the control group,58 cases.After the PTC needle puncture in the observation group,the J-shaped guide wire was placed and the front end of the J-shaped guide wire was bent.Part of the PTC needle cannula is pierced one by one and placed into the pig tail catheter for drainage.After the PTC needle puncture in the control group,the needle tip was used to pierce the separation one by one,and the pig tail catheter drainage was placed.Results:There were significant differences in complications and hospitalization days between the two groups(P<0.05),which was statistically significant.Conclusion:It is an effective and safe method to use the J-shaped guide wire to separate the pleural effusions one by one to perform pleural effusion drainage.
作者
张路生
曾福强
邹斌
陈华彬
林勇平
Zhang Lusheng;Zeng Fuqiang;Zou Bin;Chen Huabin;Lin Yongping(Department of Ultrasound,The Amliated Zhongshan Hospital,Guangzhou University of TraditionaI Chinese Medicine,Zhongshan,Guangdong 528400)
出处
《现代医用影像学》
2019年第8期1765-1767,共3页
Modern Medical Imageology
