摘要
为探讨不同处理方法对自发性气胸复发率的影响，本文总结分析了经胸片证实的１４７例自发性气胸和４１例复发性自发性气胸的处理方法，比较了不同处理方法自发性气胸的复发率。结果显示观察、胸穿抽气、胸腔闭式引流治疗自发性气胸后有一定的复发率，但三种方法之间的复发率无显著差异（Ｐ＞００５），非手术疗法的复发率较开胸手术明显高（Ｐ＜００１），复发后再次接受非手术治疗较初发时非手术疗法的复发率明显高（Ｐ＜００５）。说明初次发作的自发性气胸可非手术治疗，再次发作以手术为佳。
To study the influence of different therapeutic methods on recurrence rate of the patients with spontaneous pneumothorax(SP),the therapeutic methods for 147 patients with SP and 41 patients with recurrent SP confirmed by Chest X-ray were analysed to compare the recurrence rates among different therapeutic methods.Results showed that the patients with SP who were treated with observation alone,thoracentesis and closed thoracic drainage had certain recurrence rates,but the differences among the recurrence rates above three methods weren't significant ( P >0 05).The recurrence rate of the patients with SP receiving non-thoracostomy was much higher than that of those receiving thoracostomy( P <0 01) and the recurrence rate of the patients with SP receiving second non-thoracostomy was much higher than that of those receiving first non-thoracostomy ( P <0 005).The facts suggest that the first attacked patients with SP could be treated by non-thoracostomy,and thoracostomy is the best treatment for recurrent SP and the most thorough therapeutic methods to SP.
出处
《中国医师杂志》
CAS
1999年第6期17-18,20,共3页
Journal of Chinese Physician
关键词
气胸
复发率
胸腔闭式引流
开胸手术
SP Recurrence rate Closed thoracic drainage Thoracostomy
