中国全科医学2012,Vol.15Issue(6):665-667,3.
穿刺抽气与胸腔闭式引流术治疗原发性自发性气胸的Meta分析
Meta-Analysis of Needle Aspiration Versus Chest Tube Drainage in Primary Spontaneous Pneumothorax
孙志勇 1曹子昂 1富皓白 1叶清 1梁而慷1
作者信息
- 1. 200127 上海市,上海交通大学医学院附属仁济医院胸外科
- 折叠
摘要
Abstract
Objective To assess the efficacy and safety of needle aspiration versus chest tube drainage in the treatment of primary spontaneous pneumothorax ( PSP ) . Methods PubMed, Cochrane Library, Ovid, EMBase, CBM, VIP and CNKI were searched to collect randomized controlled trials about needle aspiration and chest tube drainage in the treatment of primary spontaneous pneumothorax from January 1991 to January 2011. The quality of included trials was assessed. Data were extracted and analyzed with RevMan 5. 0 software. Results After Screening 5 studies were brought into the review including 383 patients. There was no statistically significant differences in success rate, 3 - month recurrence, 6 - month recurrence, 1 - year recurrence, 2 -year recurrence between needle aspiration and chest tube drainage ( P >0. 05 ). Patients treated by needle aspiration had a shorter duration of hospital stay. Conclusion Needle aspiration is much more superior in the treatment of primary spontaneous pneumothorax and can be taken as the first choice clinically.关键词
气胸/穿刺抽气/胸腔闭式引流/Meta分析Key words
Pneumothorax/ Aspiration/Tube drainage/ Meta -analysis分类
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孙志勇,曹子昂,富皓白,叶清,梁而慷..穿刺抽气与胸腔闭式引流术治疗原发性自发性气胸的Meta分析[J].中国全科医学,2012,15(6):665-667,3.