双细管引流在单孔胸腔镜治疗低龄原发性自发性气胸患者术后快速康复中的应用  

Application of double thin tube chest drainage in enhanced recovery for teenagers with primary spontaneous pneumothorax after single-port thoracoscopic surgery

作　　者：杨洋[1] 徐耕 隋铁泉[1] Yang Yang;Xu Geng;Sui Tiequan(Department of Thoracic Surgery,Tianjin Fifth Center Hospital,Tianjin 300450,China)

机构地区：[1]天津市第五中心医院胸外科,300450

出　　处：《中华胸心血管外科杂志》2019年第1期10-13,共4页Chinese Journal of Thoracic and Cardiovascular Surgery

摘　　要：目的评价单孔胸腔镜肺大疱切除治疗低龄原发性自发性气胸(PSP)术后使用双根细管引流的疗效和安全性。方法2015年1月至2018年1月前瞻性入组81例低龄PSP患者,完成单孔胸腔镜肺大疱切除术后,按信封法分为两组留置不同引流管,双细口径引流管(6F、16F)(41例)和单根28F粗口径引流管(40例),比较两组术后恢复及疼痛评分等情况。结果双细管引流组的带管时间、住院时间、切口愈合不良及二次穿刺置管例数、5天内的静息及运动疼痛评分均优于单粗管组,差异有统计学意义(P<0.05)。结论低龄PSP患者接受单孔胸腔镜肺大疱切除术后采用双细管引流较单粗管引流更有助于减轻术后疼痛,更利于患者术后快速康复出院。Objective To evaluate the efficacy and safety of using double thin tube drainage after single-port thoracoscopic pulmonary bullae resection in the treatment of primary spontaneous pneumothorax(PSP) in teenager. Methods From January 2015 to January 2018, 81 PSP teenage patients were prospectively enrolled and randomly divided into two groups according to the different indwelling drainage tubes. One group was drained by double thin tube( 6F, 16F )(41 cases) and the other group was drained by single 28F thick tube(40 cases). The postoperative recovery and pain scores and other indicators of the two groups were compared. Results The time of keeping drainage tube, length of hospital stay, poor healing of incision and the number of second puncture cases, rest and movement pain scores within 5 days in the double thin tube drainage group were all better than those in the single thick tube group, the difference was statistically significant(P<0.05). Conclusion Double thin tube drainage after single-port thoracoscopic pulmonary bullae resection in teenage PSP patients is more helpful to relieve postoperative pain than single thick tube drainage, and is more conducive for enhanced recovery after surgery.

关 键 词：原发性自发性气胸 低龄 双细管引流 单孔胸腔镜 术后快速康复 

分 类 号：R655[医药卫生—外科学]