全肺切除术后两种胸腔引流方式的比较研究  

Comparison of two kinds of chest drainage after pneumonectomy

作　　者：高玉军[1] 李道堂[1] 

机构地区：[1]山东省医学科学院附属医院胸外科,山东济南250031

出　　处：《临床肺科杂志》2017年第2期230-232,共3页Journal of Clinical Pulmonary Medicine

摘　　要：目的比较开放胸腔引流方式和常规胸腔引流管夹闭方式在全肺切除术后患者中应用的比较、评估,观察开放胸腔引流方式是否和常规胸腔引流管夹闭方式一样作为全肺切除术后安全有效的选择。方法回顾性分析2008年10月至2014年5月我院110例行全肺切除术后患者的临床资料,按照胸腔引流方式分为胸腔引流管开放引流组(开放组)和常规胸腔引流管夹闭,间断开放引流组(常规组)。其中开放组57例,男48例、女9例,平均年龄(56.84±4.92)岁;常规组54例,男50例、女4例,平均年龄(53.5±4.56)岁。比较两组患者安全性。结果开放组术后病理结果显示,鳞癌39例,腺癌18例;常规组术后病理结果显示鳞癌40例,腺癌14例。开放组和常规组术后引流方式相关的并发症(8例vs13例),χ~2=0.459 P>0.05。开放组和常规组患者术后胸腔引流管留置时间[(8.28±2.10)d vs.(6.75±2.10)d]、住院时间[(11.350±2.78)d vs.(9.33±2.46)d],差异均无统计学意义(P>0.05)。结论全肺切除术后胸腔引流管开放引流和常规夹闭,间断开放引流均是有效的方法,可以根据患者手术具体情况选择合适的引流方式。Objective To compare the effect of open chest drainage way and conventional chest drainage tube occlusion way after pneumonectomy. Methods The clinical data of 110 patients who underwent pneumoneetomy from October 2008 to May 2014 were retrospectively analyzed. According to the way of chest drainage, they were divided into the open chest drainage tube drainage group and the conventional chest drainage tube group. There were 57 patients including 48 males and 9 females with mean age of 56. 84 ± 4. 92 years in the open group. There were 54 patients including 50 males and 4 females with mean age of 53.5± 4. 56 years in the normal group. Their safety was compared. Results The postoperative pathological results showed that the open group had 39 cases of squamous carcinoma and 18 cases of adenocarcinoma, and the routine group had 40 cases of squamous cell carcinomas and 14 cases of ad There was no significant difference in the incidence of complications between the two groups （8 vsl3） （x2 = 0. 459, P 〉 0. 05 ）. The postoperative chest drainage tube indwelling time [ （8.28 ± 2. 10）d vs （6. 75 ± 2. 10） d] and the duration of hospital stay [ （ 11. 350 ±2. 78） vs （9. 33 ±2. 46） d] showed no significant difference between the two groups （P 〉 0. 05）. Conclusion Both the open chest drainage and the conventional intermittent open drainage are effective methods, and the patients after pneumonectomy can choose the right way of drainage according to the specific situation.

关 键 词：引流 胸腔引流管 全肺切除 肺癌 

分 类 号：R734.2[医药卫生—肿瘤]