| 摘要: |
| 目的：评价超声引导下猪尾巴管置管引流对恶性胸腔积液的临床疗效及不良反应。方法：采用回顾性分析方法,以2022年1月到2022年6月华中科技大学同济医学院附属同济医院收治的147例恶性胸腔积液并完成胸腔穿刺置管引流的患者作为研究对象,按照引流管类型分为对照组(中心静脉导管,n=68)与研究组(猪尾巴导管,n=79)。比较两组患者置管操作时间、并发症发生率、引流管移位率、堵管率和总有效率。结果：对照组的置管操作时间、并发症发生率、移位率、堵管率和总有效率分别为：(16.8±1.6)min、 1.5%、1.5%、11.8%、86.8%。研究组的置管时间、并发症发生率、移位率、堵管率和总有效率分别为：(18.9±2.4)min、1.3%、2.5%、2.5%、94.9 %。与对照组相比,研究组的置管操作时间稍长,堵管率更低,差异均有统计学意义(P <0.05)。两组患者并发症发生率、移位率和总有效率比较,差异均无统计学意义(P> 0.05)。结论：超声引导胸腔穿刺留置中心静脉导管与猪尾巴管对恶性胸腔积液均能有效引流,且猪尾巴管堵管率更低,值得临床广泛应用。 |
| 关键词: 超声引导 恶性胸腔积液 中心静脉导管 猪尾巴管 |
| DOI： |
| 投稿时间：2023-01-03修订日期：2023-02-20 |
| 基金项目: |
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| Application of ultrasound-guided pigtail catheterization on malignant pleural effusion |
| Tang Dachuan,Zhang Wei |
| (Department of Medical Ultrasound,Tongji Hospital,Tongji Medical College,Huazhong university of Science and Technology,Wuhan) |
| Abstract: |
| Objective To evaluate the drainage effectiveness and adverse effects of ultrasound-guided pigtail catheterization on malignant pleural effusion. Method A retrospective analysis of patients with malignant pleural effusions and indwelling pleural catheter drainage admitted to Tongji Hospital affiliated to Tongji Medical College of Huazhong University of Science and Technology from January to June 2022 was performed. 147 patients were included in this study, and divided into control group (central venous catheter, n= 68) and study group (pigtail catheter, n=79) according to different drainage catheters．The operation time of catheterization, complication rate, displacement rate, obstruction rate and total effective rate were compared between the two groups. Results In the control group, the operation time of catheterization, complication rate, displacement rate, obstruction rate and total effective rate were: (16.8 ± 1.6) min, 1.5%, 1.5%, 11.8% and 86.8%, respectively. In the study group, the operation time of catheterization, complication rate, displacement rate, obstruction rate and total effective rate were:（18.9±2.4）min、1.3%、2.5%、2.5%、94.9%, respectively. Compared with the control group, the study group had a slightly longer operation time of catheterization and a lower obstruction rate, with statistically significant differences (P <0.05). No statistically significant (P> 0.05) existed in terms of the complication rate, displacement rate and total effective rate. Conclusion Both central venous catheter and pigtail catheter achieved remarkable effect in the drainage of patients with malignant pleural effusion in this study. Benefit from a lower obstruction rate, the pigtail catheter is worthy of wide clinical application. |
| Key words: Ultrasound-guided Malignant pleural effusion Central venous catheter Pigtail catheter |
