奈维在胸腔镜肺大泡切除术后防止漏气的临床疗效  

Clinical efficacy of NEOVEIL in postoperative pulmonary air leakage of pulmonary bullae resection by video-assisted thoracic surgery

作　　者：杨海平[1] 吴骏[1] 孙林[1] 王立杰[1] 李卫强[1] 

机构地区：[1]首都医科大学潞河教学医院胸心外科,北京101149

出　　处：《中国综合临床》2011年第4期440-442,共3页Clinical Medicine of China

摘　　要：目的 探讨奈维（可吸收聚乙醇酸材料,NEOVEIL）在胸腔镜肺大泡切除术后防止漏气的临床疗效.方法 回顾分析37例使用强生ATB45（直线型切割缝合器）加奈维补片胸腔镜下肺大泡切除术患者（奈维组）和40例单纯使用强生ATB45胸腔镜下肺大泡切除术患者（对照组）的临床资料,比较2组术后的住院时间、术后留置胸引管时间、术后漏气时间及肺部感染发生率.结果 2组患者术后均未行机械通气,无血胸,无手术死亡,奈维组中术后住院时间为5～9 d,术后拔除胸引管时间为2～4 d,术后漏气0～2 d,有4例患者术后无漏气,有1例患者出现肺部感染;而对照组（未使用奈维组）中术后住院时间为6～10 d,术后拔除胸引管时间为3～6 d,术后漏气2～5 d,有8例患者出现肺部感染.2组患者术后住院时间、术后留置胸引管时间、术后漏气时间经秩和检验差异均有统计学意义（P均＜0.05）.2组患者肺部感染发生率（奈维组为2.7%,对照组为20.0%）比较差异有统计学意义（Х^2=4.02,P＜0.05）.结论 奈维补片能够有效地防止术后肺组织切缘的漏气.Objective To explore the clinical efficacy of NEOVEIL in postoperative pulmonary air leakage of pulmonary bullae resection by video-assisted thoracic surgery. Methods We retrospectively analyzed clinical data of 37 cases received NEOVEIL combined with ATB45 in video-assisted thoracic surgery （the NEOVEIL group）, and clinical data of 40 cases by ATB45 alone（the control group） . We compared postoperative hospitalization time, keeping time of pleural cavity tubes, the pulmonary leakage time and the incidence of pulmonary infection in the two groups. Results There was no postoperative mechanical ventilation,hemothorax and death. In the NEOVEIL group, the postoperative hospitalization time was 5 to 9 days, the postoperative keeping time of pleural cavity tubes 2 to 4 days, the postoperative pulmonary leakage time 0 to 2 days with 4 patients un-leakage, and 1 patients with pulmonary infection; whereas the postoperative hospitalization time was 6 to 10 days,the postoperative keeping time of pleural cavity tubes 3 to 6 days,the postoperative pulmonary leakage time 2 to 5 days and 8 patients with pulmonary infection in the control group. There was statistical significance in the postoperative hospitalization time, keeping time of pleural cavity tubes, the pulmonary leakage time and the incidence of pulmonary inflammation in two groups（P 〈 0. 05）. The incidence of pulmonary inflammation of the NEOVEIL group （2. 7%） was significantly lower than that of the control group（20. 0%）（Х^2 = 4. 02, P 〈 0. 05）. Conclusion The operative effectiveness of the NEOVEIL group is better than that of the control group. The NEOVEIL can prevent the postoperative pulmonary leakage.

关 键 词：聚乙醇酸 胸腔镜 肺大泡 

分 类 号：R655.3[医药卫生—外科学]