对患者进行单孔胸腔镜手术后不为其留置引流管的安全性和可行性分析  

Safety and feasibility analysis of patients without indwelling drainage tube after single-hole thoracoscopic surgery

作　　者：张璐[1] 李星[1] 张亚年[1] 陈文[1] 仲宁[1] Zhang Lu;Li Xing;Zhang Yanian;Chen Wen;Zhong Ning(Kunshan hospital affiliated to jiangsu university, Department of thoracic surgery, kunshan first people＇ s hospital, Kunshan jiangsu 215300)

机构地区：[1]江苏大学附属昆山医院,昆山市第一人民医院胸外科,江苏昆山215300

出　　处：《当代医药论丛》2018年第9期132-134,共3页

摘　　要：目的:探讨对患者进行单孔胸腔镜手术后不为其留置引流管的安全性和可行性。方法:对2012年1月至2017年6月期间在昆山市第一人民医院胸外科进行单孔胸腔镜手术的46例患者的临床资料进行回顾性研究。对这46例患者均进行单孔胸腔镜手术,术后均不为其留置引流管,然后观察其各项手术指标。结果:这46例患者均顺利地完成了手术,无患者死亡。其手术持续的平均时间为(46.27±8.15)min,术中的平均出血量为(36.35±9.24)ml,术后住院的平均时间为(2.03±0.75)d。术后6 h,这46例患者中疼痛评分低于3分的患者有39例,占84.78%;术后24 h,疼痛评分低于3分的患者有42例,占91.30%。这46例患者术后均未服用阿片类镇痛药。术后,有2例患者因出现气胸而接受了胸腔穿刺抽气治疗,没有患者接受二次手术。这46例患者术后均未出现肺部感染、肺不张、胸腔大量积液、血胸及持续性肺漏气等并发症。结论:患者在接受单孔胸腔镜手术后,若具有不留置引流管的指征,则可以不为其留置引流管。这种方法是安全、可行的,不会对患者的手术效果造成大的影响。objective： to explore the safety and feasibility of patients without indwelling drainage tube after single-hole thoracoscopic surgery. Methods： the clinical data of 46 patients who underwent single-hole thoracoscopic surgery in the department of thoracic surgery of kunshan first people＇s hospital from January 2012 to June 2017 were retrospectively studied. All the 46 patients were operated with single-hole thoracoscopy, and no drainage tube was left after the operation. Results： all the 46 patients successfully completed the operation and no patient died. The mean duration of the operation was 46.27 ＋-8.15 min, the average intraoperative blood loss was 36.35-9.24 ml, and the average length of hospitalization after surgery was 2.03-0.75 d. 6 h after surgery, 39 of the 46 patients with pain score lower than 3, accounting for 84.78%. At 24 h after surgery, 42 patients with pain score lower than 3, accounting for 91.30%. None of the 46 patients took opioid analgesics after surgery. After the operation, two patients received thoracic puncture and aspiration treatment for pneumothorax, and no patients received secondary surgery. None of the 46 patients had postoperative complications such as pulmonary infection, atelectasis, massive pleural effusion, hematothorax and persistent pulmonary leakage. Conclusion： after the operation with single-hole thoracoscopy, if the patient has the indication of no indwelling drainage tube, he may not have the indwelling drainage tube. This method is safe and feasible, and will not greatly affect the operation effect of patients.

关 键 词：单孔胸腔镜手术 引流管 安全性 可行性 

分 类 号：R615[医药卫生—外科学]