数字化胸腔引流系统应用于胸腔镜肺叶切除术后的疗效观察  

Clinical efficacy of digital thoracic drainage system in complete video-assisted thoracoscopic pulmonary lobectomy

作　　者：陶绍霖 康珀铭 沈诚 谭群友 TAO Shao-lin;KANG Po-ming;SHEN Cheng;TAN Qun-you(Institute of Thoracic Surgery,Daping Hospital,Army Medical University,Chongqing 400042,China)

机构地区：[1]陆军军医大学大坪医院胸外科

出　　处：《局解手术学杂志》2019年第12期1003-1006,共4页Journal of Regional Anatomy and Operative Surgery

基　　金：军队临床高新技术重点项目(2010gxjs073);重庆市科委基金(cstc2015jcyjA10073)

摘　　要：目的探讨数字化胸腔引流系统在胸腔镜肺叶切除术后引流管理中的应用价值。方法选择我科2017年8月至2018年8月行胸腔镜右肺上叶切除、淋巴结清扫术的患者86例,采用前瞻性区间随机分组方法将其分为数字化胸腔引流系统组(DDS组)和墙式负压水封引流系统组(传统组),其中DDS组44例,传统组42例。比较分析2组患者术后拔管时间、肺功能康复情况、生活质量、住院时间、术后并发症等情况。结果DDS组术后拔管时间、术后胸腔引流液量和术后住院时间明显少于传统组,差异有统计学意义(P<0.05)。2组患者术后漏气和拔管后再次引流或胸腔穿刺比例比较差异无统计学意义(P>0.05),但DDS组漏气患者术后拔管时间、胸腔引流液量和术后住院时间均优于传统组,差异有统计学意义(P<0.05)。结论数字化胸腔引流系统能够缩短患者术后带管时间,减少术后疼痛和引流液量,利于患者早期下床活动,促进肺功能康复,缩短住院时间,减少住院费用。Objective To explore the clinical application value of digital thoracic drainage system in complete video-assisted thoracoscopic pulmonary lobectomy.Methods A total of 86 patients with right upper lung cancer accepted complete video-assisted thoracoscopic pulmonary lobectomy in our department from August 2017 to August 2018 were collected.They were randomly divided into digital thoracic drainage group(DDS group,44 cases)and traditional chest drainage group(traditional group,42 cases).The postoperative extubation time,pulmonary function recovery,quality of life,hospital stay and postoperative complications of the two groups were investigated respectively.Results The postoperative extubation time,volume of postoperative pleural drainage,and the length of hospital stay in DDS group were less than those in traditional group with statistically significant difference(P<0.05).Forthermore,the cases of air leakage,patients of second drainage after extubation,and proportion of thoracentesis of the two groups were of no significant difference(P>0.05).For the patients of air leakage,the volume of postoperative pleural drainage,the extubation time and the length of hospital stay in DDS group were all better than those in the traditional group,and the differences were statistically significant(P<0.05).Conclusion The digital thoracic drainage system can shorten the postoperative tube time,reduce postoperative pain and the amount of drainage fluid,facilitate the early out-of-bed activities of patients,promote the recovery of lung function,shorten the length of hospitalization,and reduce the cost of hospitalization.

关 键 词：肺叶切除术 数字化胸腔引流系统 快速康复 肺癌 胸腔穿刺 胸腔引流 

分 类 号：R655.3[医药卫生—外科学] R619.9[医药卫生—临床医学]