青少年自发性气胸经胸腔镜肺大疱切除术后两种胸管的应用分析  

The clinical application of the two thoracic duct in thoracoscopic bullaectomy of the spontaneous pneumothorax in adolescents

作　　者：王晓龙 侯涛 张锋 张海峰 张冬红 胡宝利 丁凯 韦海涛 WANG Xiaolong;Hou Tao;ZHANG Feng;ZHANG Haifeng;ZHANG Donghong;HU Baoli;DING Kai;WEI Haitao(Deptment of Troracic surgery,Huaihe Hospital of Henan University,Kaifeng 475000,China)

机构地区：[1]河南大学淮河医院胸外科,河南开封475000

出　　处：《河南大学学报（医学版）》2020年第1期23-26,共4页Journal of Henan University:Medical Science

基　　金：河南省教育厅项目(19A320002)。

摘　　要：[目的]通过对两种胸管在青少年自发性气胸经胸腔镜肺大泡切除术后的疗效对比分析,评价24F胸管的临床效果。[方法]回顾性分析2014年1月至2015年3月河南大学淮河医院胸外科确诊自发性气胸的青少年41例,依据胸管的不同,分为2组:32F组、24F组。分析术后患者疼痛、皮下气肿、带管时间、住院时间、切口愈合等级、导管阻塞及再次置管等。[结果]32F组23例,24F组18例。2组在年龄、性别、手术时间、出血量、带管时间、引流量、住院时间均无统计学意义;24F组在术后并发症皮下气肿、切口愈合等级、导管阻塞及再次置管等方面与32F组比较,差异无统计学意义(P>0.05);但24F组较32F组疼痛明显降低(P<0.05)。[结论]24F组胸管在青少年自发性气胸经胸腔镜肺大疱切除术后的应用与32F组胸管有相同的疗效,但是24F组胸管可明显降低患者的疼痛。[Objective]The aim of this study is to compare the advantages of using two thoracic ducts in thoracoscopic bullaectomy for treatment of the spontaneous pneumothorax in adolescents. [Methods]This study included 41 adolescent patients with spontaneous pneumothorax in the Department of Thoracic Surgery, Huaihe Hospital of Henan University between January 2014 and March 2016. According to the different operation ways, they were divided into two groups: 24 F tube and 32 F group. The following post-operative data were evaluated: pain, subcutaneous emphysema, drainage time, hospital stay, new drain insertion, and wound healing at the site of insertion. [Results]A total of 18 patients received 24 F chest tubes, and 23 patients received 32 F chest tubes. The data revealed a significantly reduced the pain in the 24 F group compared to the 32 F group(P<0.05). However, no statistical differences in postoperative hospital stay and complications incidence were found between the 2 groups. [Conclusion]The use of 24 F chest tube in thoracoscopic bullectomy for treatment of spontaneous pneumothorax in adolescents did not affect the clinically relevant outcomes tested. However, 24 F chest tube reduces the postoperation pain.

关 键 词：胸管 自发性气胸 胸腔镜肺大泡切除术 

分 类 号：R734.2[医药卫生—肿瘤]