Thoracic Surgery Service, Hospital Donostia, Paseo Dr. Beguiristain 115, Donostia-San Sebastián 20014, Spain.
Eur J Cardiothorac Surg. 2010 May;37(5):1129-35. doi: 10.1016/j.ejcts.2009.12.008. Epub 2010 Jan 8.
Spontaneous pneumothorax is an extremely frequent pathology. Despite this, there is still no clear consensus on managing these patients. Therefore, we perform a systematic review and meta-analysis of the effectiveness of percutaneous aspiration compared with tube drainage for treating idiopathic spontaneous pneumothorax. Controlled, randomised clinical trials were selected, in which the effectiveness of percutaneous aspiration is compared with that of chest tube drainage, in terms of resolution of the pneumothorax and rates of relapse and hospital admission. Relevant articles were identified by searching electronic databases (e.g., Medline, EMBASE, CENTRAL, mRCT and Pascal), as well as the references of the papers found in this manner, with a cut-off date of April 2009. Quality was assessed by two independent evaluators, using the CASPe appraisal tool. Effectiveness of percutaneous aspiration is compared with that of chest tube drainage, in terms of resolution of the pneumothorax and rates of relapse and hospital admission.
自发性气胸是一种非常常见的疾病。尽管如此，对于这类患者的处理方法仍未达成明确的共识。因此，我们对经皮抽气与胸腔引流治疗特发性自发性气胸的疗效进行了系统评价和荟萃分析。我们选择了对照、随机临床试验，比较了经皮抽气与胸腔引流在气胸消退、复发率和住院率方面的疗效。通过检索电子数据库（如 Medline、EMBASE、CENTRAL、mRCT 和 Pascal）以及通过这种方式找到的文献的参考文献，确定了相关文章，并设定了截止日期为 2009 年 4 月。使用 CASPe 评估工具由两位独立评估者评估质量。比较了经皮抽气与胸腔引流在气胸消退、复发率和住院率方面的疗效。
