Clinical Efficacy of Central Venous Catheter Closed Drainage of Pleural Cavity Combined with Negative Pressure Suction for Spontaneous Pneumothorax: A Systematic Review and Meta-analysis_Chinese Journal of Clinical Thoracic and Cardiovascular Surgery

Authors：

LIULan-bo ¹ , LIUShuang-lu ² ,  QIHai ³ , ZHENGShi-yi ⁴

1. Department of Thoracic Surgery, Xiangyang Central Hospital, Xiangyang 441021 Hubei, P. R. China;
2. Department of Orthopedics, Xiangyang Central Hospital, Xiangyang 441021 Hubei, P. R. China;
3. Department of Thoracic Surgery, Second Affiliated Hospital, Xinjiang Medical University, Urumqi 830000, P. R. China;
4. Department of Thoracic Surgery, Guangyuan First People's Hospital, Guangyuan 828017 Sichuan, P. R. China;

Corresponding?author：

QIHai, Email: cxju-qh@126.com

Keywords：

Central venous catheter; Spontaneous pneumothorax; Closed drainage of pleural cavity; Systematic review; Meta-analysis

DOI：

10.7507/1007-4848.20150259

Video：

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Objective To evaluate the clinical efficacy of central venous catheter closed drainage of pleural cavity combined with negative pressure suction in the treatment of spontaneous pneumothorax. Methods The randomized controlled trials(RCTs) on central venous catheter closed drainage of pleural cavity combined with negative pressure suction in the treatment of spontaneous pneumothorax were searched in PubMed, OVID, CNKI, Wangfang database, Super Star Digital Library, CMB, Baidu and Google search engines. The searching time was from the time of building database to September 15, 2014. Two searchers selected studies based on the included criteria strictly. The quality of RCTs was appraised by the criteria of Cochrane Collaboration. RevMan5.3 software was used for data analysis and management. Results A total of 18 RCTs including 1 549 patients were identified. There were no statistical differences in time of lung recruitment (SMD=0.01 and 95%CI -0.23 to 0.25, P=0.95), time of hospital stay (SMD=-0.42, 95%CI -1.81 to 0.97, P=0.55), curative resection rate (RR=1.04 and 95%CI 1.00 to 1.08, P=0.07) between the two groups. The rate of complications in the central venous catheter group was less than that in the conventional pleural cavity closed drainage group with a statistical difference (RR=0.31, 95%CI 0.23 to 0.43, P<0.000 01). Conclusion The treatment of central venous catheter closed drainage of pleural cavity combined with negative pressure suction for spontaneous pneumothorax is a simple and safe operation. However, the quality of studies included is not high and some sample size is small. RCTs with large sample of high quality are still needed for further confirmation.

Citation： LIULan-bo, LIUShuang-lu, QIHai, ZHENGShi-yi. Clinical Efficacy of Central Venous Catheter Closed Drainage of Pleural Cavity Combined with Negative Pressure Suction for Spontaneous Pneumothorax: A Systematic Review and Meta-analysis. Chinese Journal of Clinical Thoracic and Cardiovascular Surgery, 2015, 22(11): 1044-1049. doi: 10.7507/1007-4848.20150259 Copy

1.	高健,孫圣華.中心靜脈導管加持續低負壓吸引治療自發性氣胸的臨床療效分析.臨床和實驗醫學雜志,2009,8(4):23-25.
2.	梅洪寶.中心靜脈導管胸腔閉式引流聯合負壓吸引治療自發性氣胸52例.中國實用醫學,2011,6(17):46-48.
3.	Ong ME,Chan YH,Ke TY,et al.Spontaneous pneumothorax outcome study(SPOT phase I):a 2-year review.Euro J Emerg Med,2004,11(2):89-94.
4.	李志東,肖誼,陳梅,等.兩種胸腔閉式引流方法治療重癥慢阻肺合并氣胸的療效觀察.信息醫學,2014,27(7):405-406.
5.	Parulekar W,Di PG,Matzinger F,et al.Use of small-bore vs largebore chest tubes for treatment of malignant pleural effusion.Chest,2001,120:19-25.
6.	董光寶,王永嬌.中心靜脈導管胸腔閉式引流聯合負壓吸引治療自發性氣胸的臨床療效及其并發癥分析.中國社區醫師,2014,30(16):28-29.
7.	袁志,汪慧英.中心靜脈導管胸腔閉式引流治療慢性阻塞性肺疾病合并自發性氣胸的療效觀察.實用醫學雜志,2010,26(8):1365-1367.
8.	金雪文,巫天賢.小導管胸腔引流聯合負壓吸引治療繼發性氣胸的療效分析.現代實用醫學,2013,25(12):1365-1366.
9.	俞燕云.胸腔閉式引流加持續負壓吸引治療氣胸療效分析.現代中西醫結合雜志,2012,21(6):615-616.
10.	卓超群,龔華,范春紅,等.中心靜脈導管閉式引流聯合持續負壓吸引治療自發性氣胸的臨床療效分析.臨床肺科雜志,2009,14(6):811-812.
11.	張振輝,張國慧.中心靜脈導管與傳統胸腔閉式引流管在治療自發性氣胸中的療效對比.醫學信息(上旬刊),2011,24(6):3323-3324.
12.	劉菁,李志家,梁克.微創持續負壓胸腔閉式引流治療自發性氣胸的臨床觀察.中國急救復蘇與災害醫學雜志,2008,3(11):674-675.
13.	常海鵬.胸腔閉式引流聯合持續負壓吸引治療自發性氣胸的臨床療效分析.健康必讀雜志,2013,3(3):92.
14.	柯堃.中心靜脈導管閉式引流負壓吸引治療氣胸療效觀察.基礎醫學論壇,2011,15(28):919-920.
15.	彭榮建.中心靜脈導管胸腔閉式引流對氣胸的治療效果觀察.抗感染藥學,2010,7(3):220-222.
16.	易海峰.中心靜脈導管胸腔閉式引流術加持續負壓吸引治療氣胸.內蒙古中醫藥,2009,28(9):1-3.
17.	馮明海,商圣濤.中心靜脈導管治療氣胸的臨床療效.中國保健營養(下旬刊),2012,22(8):2474.
18.	王學中.中心靜脈導管治療自發性氣胸的臨床觀察.臨床肺科雜志,2012,17(2):214-215.
19.	趙亞麗,楊振漢,陳亞想.中心靜脈導管負壓吸引治療氣胸與傳統方法的比較.健康大視野醫學分冊,2006,6(4):43-44.
20.	楊海云,何良文.中心靜脈導管替代胸腔閉式引流管與負壓吸引治療自發性氣胸的應用及護理.吉林醫學,2009,30(8):697-698.
21.	王毅,王寶梅.中心靜脈導管治療自發性氣胸45例臨床分析.中國醫藥導報,2008,5(80):162.
22.	Gamulka B,Mendoza C,Connolly B.Evaluation of a unique,nurseinserted,peripherally inserted central catheter program.Pediatrics,2005,115(6):1602.
23.	Baumann MH,Strange C.Treatment of spontaneous pneumothorax.Chest,1997,102(3):789.
24.	Davis JW,Mackersie RC,Hogt DB,et al.Randomized study of algorithms for disconfinuing tube thoracostomy drainage.J Am Coll Surg,1994,179:553-557.
25.	Cunnington J.自發性氣胸的治療.中國循證醫學雜志,2004,4(3):202-204.

1. 高健,孫圣華.中心靜脈導管加持續低負壓吸引治療自發性氣胸的臨床療效分析.臨床和實驗醫學雜志,2009,8(4):23-25.
2. 梅洪寶.中心靜脈導管胸腔閉式引流聯合負壓吸引治療自發性氣胸52例.中國實用醫學,2011,6(17):46-48.
3. Ong ME,Chan YH,Ke TY,et al.Spontaneous pneumothorax outcome study(SPOT phase I):a 2-year review.Euro J Emerg Med,2004,11(2):89-94.
4. 李志東,肖誼,陳梅,等.兩種胸腔閉式引流方法治療重癥慢阻肺合并氣胸的療效觀察.信息醫學,2014,27(7):405-406.
5. Parulekar W,Di PG,Matzinger F,et al.Use of small-bore vs largebore chest tubes for treatment of malignant pleural effusion.Chest,2001,120:19-25.
6. 董光寶,王永嬌.中心靜脈導管胸腔閉式引流聯合負壓吸引治療自發性氣胸的臨床療效及其并發癥分析.中國社區醫師,2014,30(16):28-29.
7. 袁志,汪慧英.中心靜脈導管胸腔閉式引流治療慢性阻塞性肺疾病合并自發性氣胸的療效觀察.實用醫學雜志,2010,26(8):1365-1367.
8. 金雪文,巫天賢.小導管胸腔引流聯合負壓吸引治療繼發性氣胸的療效分析.現代實用醫學,2013,25(12):1365-1366.
9. 俞燕云.胸腔閉式引流加持續負壓吸引治療氣胸療效分析.現代中西醫結合雜志,2012,21(6):615-616.
10. 卓超群,龔華,范春紅,等.中心靜脈導管閉式引流聯合持續負壓吸引治療自發性氣胸的臨床療效分析.臨床肺科雜志,2009,14(6):811-812.
11. 張振輝,張國慧.中心靜脈導管與傳統胸腔閉式引流管在治療自發性氣胸中的療效對比.醫學信息(上旬刊),2011,24(6):3323-3324.
12. 劉菁,李志家,梁克.微創持續負壓胸腔閉式引流治療自發性氣胸的臨床觀察.中國急救復蘇與災害醫學雜志,2008,3(11):674-675.
13. 常海鵬.胸腔閉式引流聯合持續負壓吸引治療自發性氣胸的臨床療效分析.健康必讀雜志,2013,3(3):92.
14. 柯堃.中心靜脈導管閉式引流負壓吸引治療氣胸療效觀察.基礎醫學論壇,2011,15(28):919-920.
15. 彭榮建.中心靜脈導管胸腔閉式引流對氣胸的治療效果觀察.抗感染藥學,2010,7(3):220-222.
16. 易海峰.中心靜脈導管胸腔閉式引流術加持續負壓吸引治療氣胸.內蒙古中醫藥,2009,28(9):1-3.
17. 馮明海,商圣濤.中心靜脈導管治療氣胸的臨床療效.中國保健營養(下旬刊),2012,22(8):2474.
18. 王學中.中心靜脈導管治療自發性氣胸的臨床觀察.臨床肺科雜志,2012,17(2):214-215.
19. 趙亞麗,楊振漢,陳亞想.中心靜脈導管負壓吸引治療氣胸與傳統方法的比較.健康大視野醫學分冊,2006,6(4):43-44.
20. 楊海云,何良文.中心靜脈導管替代胸腔閉式引流管與負壓吸引治療自發性氣胸的應用及護理.吉林醫學,2009,30(8):697-698.
21. 王毅,王寶梅.中心靜脈導管治療自發性氣胸45例臨床分析.中國醫藥導報,2008,5(80):162.
22. Gamulka B,Mendoza C,Connolly B.Evaluation of a unique,nurseinserted,peripherally inserted central catheter program.Pediatrics,2005,115(6):1602.
23. Baumann MH,Strange C.Treatment of spontaneous pneumothorax.Chest,1997,102(3):789.
24. Davis JW,Mackersie RC,Hogt DB,et al.Randomized study of algorithms for disconfinuing tube thoracostomy drainage.J Am Coll Surg,1994,179:553-557.
25. Cunnington J.自發性氣胸的治療.中國循證醫學雜志,2004,4(3):202-204.

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Clinical Efficacy of Central Venous Catheter Closed Drainage of Pleural Cavity Combined with Negative Pressure Suction for Spontaneous Pneumothorax: A Systematic Review and Meta-analysis

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