猪尾导管与普通胸管气胸引流效果与安全性的Meta分析

孙嵇洪; 李国庆; 黄勇

doi:10.16016/j.1000-5404.201608161

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猪尾导管与普通胸管气胸引流效果与安全性的Meta分析

基础医学 | 更新时间：2026-01-09

- 猪尾导管与普通胸管气胸引流效果与安全性的Meta分析
- Pigtail catheter versus chest tube in patients with pneumothorax：a systematic review and metaanalysis
- 第三军医大学学报 2017年39卷第4期页码：379-384
- 作者机构：
- 作者简介：
- 基金信息：
  
  重庆市卫生计生委医学科研项目(2015MSXM071)
- DOI：10.16016/j.1000-5404.201608161
  中图分类号：
- 收稿：2016-09-21，
  
  纸质出版：2017-02-28
- 稿件说明：
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孙嵇洪, 李国庆, 黄勇. 猪尾导管与普通胸管气胸引流效果与安全性的Meta分析[J]. 第三军医大学学报, 2017,39(4):379-384.

Jihong Sun, Guoqing Li, Yong Huang. Pigtail catheter versus chest tube in patients with pneumothorax：a systematic review and metaanalysis[J]. J Third Mil Med Univ, 2017, 39(4): 379-384.
孙嵇洪, 李国庆, 黄勇. 猪尾导管与普通胸管气胸引流效果与安全性的Meta分析[J]. 第三军医大学学报, 2017,39(4):379-384. DOI： 10.16016/j.1000-5404.201608161.

Jihong Sun, Guoqing Li, Yong Huang. Pigtail catheter versus chest tube in patients with pneumothorax：a systematic review and metaanalysis[J]. J Third Mil Med Univ, 2017, 39(4): 379-384. DOI： 10.16016/j.1000-5404.201608161.

摘要

Abstract

Objective

To evaluate the efficacy and safety of pigtail catheter versus chest tube in the treatment of patients with pneumothorax.

Method

Clinical trials of pigtail catheter versus chest tube in patients with pneumothorax were collected by searching databases of PubMed

Cochrane Library

Embase

and Google Scholar up to November 26

2015. Methodological index for non-randomized studies (MINORS) was used for methodological quality assessment of the included literatures. Software Revman Manager 5.1 was used for meta-analysis.

Results

Four literatures (1 randomized controlled trial

3 non-randomized controlled trials) containing a total of 522 patients were included for analysis. According to the treatment

the patients were categorized into pigtail catheter group (

=267) and chest tube group (

=255). The meta-analysis data showed that usage of pigtail catheter significantly reduced postoperative duration of tube insertion compared to the chest tube group (weighted mean difference=-0.33

95%

: -0.58~-0.07

0.05). However

no statistical differences in success rate(relative ratio=0.94

95%

: 0.87~1.02

0.05)

postoperative hospital stay (WMD=-2.33

95%

:-6.87~2.22

0.05) and complications incidence (

=0.73

95%

: 0.29~1.86

0.05)were found between the 2 groups.

Conclusion

Compared to common chest tube used in the treatment of pneumothorax

employment of pigtail catheter reduces the days of tube insertion. Nevertheless

success rate

postoperative hospital stay and incidence of complications are not significantly different between the 2 methods of interventions. Pigtail catheter may be effectively useful for closed thoracic drainage in patients with pneumothorax.

关键词

Keywords

references

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