摘要：目的 探讨以蕈状尿管作胸腔闭式引流管的方法治疗自发性气胸与传统硅胶管作闭式引流管在疗效、并发症方面的差异。方法 选择我院住院的已确诊的自发性气胸患者80例患者作为研究对象，其中40例采用蕈状尿管作胸腔闭式引流管(实验组)，40例采用传统硅胶管作闭式引流管方法(对照组)。结果 两组患者的拔管时间、引流管移位率及引流不畅发生率相似。实验组术后疼痛严重者比例及术后皮下气肿发生率较对照组明显降低，两组间差异均有统计学意义(P<0.05)。结论 采用蕈状尿管作胸腔闭式引流管的方法治疗气胸与传统硅胶管作胸腔闭式引流管的方法相比疗效相似，术后疼痛及皮下气肿较轻，值得临床推广。

    关键词：蕈状尿管；自发性气胸；胸腔闭式引流

    Abstract：Objective To explore the effect of the mushroom-shape urinary canal as drainage tube and the conventional drainage tube used in closed drainage of thoracic cavity in the treatment of spontaneous pneumothorax.Methods Eighty cases of spontaneous pneumothorax patients in our hospital were randomly divided into the observation group and control group ......