潘式负压引流球联合胸腔闭式引流管在单孔胸腔镜肺癌手术后引流中的应用  

Application value of Pan′s negative pressure drainage ball combined with thoracic closed drainage tube in postoperative drainage of single-hole thoracoscopic surgery for lung cancer

作　　者：刘献 韩滨泽 顾江魁 胡一淼 陈安国[2] LIU Xian;HAN Bin-ze;GU Jiang-kui;HU Yi-miao;CHEN An-guo(Department of Cardiothoracic Surgery,Fuyang Hospital Affiliated to Anhui Medical University,Fuyang Anhui 236000,China;Department of General Thoracic Surgery,First Affiliated Hospital of Anhui Medical University,Hefei Anhui 230022,China)

机构地区：[1]安徽医科大学附属阜阳医院心胸外科,安徽阜阳236000 [2]安徽医科大学第一附属医院普胸外科,安徽合肥230022

出　　处：《局解手术学杂志》2020年第7期545-548,共4页Journal of Regional Anatomy and Operative Surgery

基　　金：安徽省卫生和计划生育委员会科研计划项目(2016QK1018)。

摘　　要：目的探讨潘氏负压引流球联合胸腔闭式引流管在单孔胸腔镜肺癌手术后引流中的应用价值。方法选取2017年7月至2019年12月安徽医科大学附属阜阳医院心胸外科收治的120例肺癌手术患者,按照随机数字表原则将其分为对照组和观察组,观察组60例患者术后采用原切口置入28F单根胸腔引流管+腋后线第7或第8肋间置入1根潘氏负压引流管外接负压球,对照组60例患者术后采用原切口置入28F单根胸腔引流管。对比2组患者引流管留置时间、平均引流量、术后住院时间以及拔管前后疼痛情况。记录2组患者拔管后并发症发生情况和再次置管率。结果观察组引流管留置时间以及术后住院时间均较对照组短,观察组平均引流量较对照组少,差异均有统计学意义(P<0.05)。拔管前2组患者VAS评分比较差异无统计学意义(P>0.05);拔管后观察组VAS评分明显低于对照组,差异有统计学意义(P<0.05)。拔管后2组患者再次置管率及并发症发生率比较,差异无统计学意义(P>0.05)。结论单孔胸腔镜肺癌手术后采用潘氏负压引流球联合胸腔闭式引流管引流,可缩短引流管留置时间和住院时间,减轻患者疼痛,且不会增加并发症发生率。Objective To investigate the application value of Pan′s negative pressure drainage ball combined with thoracic closed drainage tube in postoperative drainage of single hole thoracoscopic surgery for lung cancer.Methods A total of 120 lung cancer patients who were admitted to cardiothoracic surgery department of Fuyang Hospital of Anhui Medical University from July 2017 to December 2019 were selected and divided into control group and observation group according to the principle of random number table;60 patients in observation group placed 28F single thoracic drainage tube+one Pan′s negative pressure drainage tube between the 7th or 8th intercostals of the posterior axillary line through original incision after operation,60 patients in control group placed 28F single thoracic drainage tube through original incision after operation.The retention time of drainage tube,average volume of drainage,postoperative hospitalization time and pain before and after extubation were compared between the two groups.The complications and the rate of re-catheterization after extubation were recorded. Results The retention time of drainage tube and postoperative hospitalization time in observation group were shorter than those in control group,the average volume of drainage of observation group was less than that of control group,the differences were significant( P <0.05).There was no significant difference in VAS score between the two groups before extubation( P >0.05);VAS score of observation group was lower than that of control group after extubation,the difference was significant( P <0.05).After extubation,there was no significant difference in rates of re-canalization and complications between the two groups( P >0.05). Conclusion Pan′s negative pressure drainage ball combined with common thoracic closed drainage tube after single hole thoracoscopic surgery is effective for patients of lung cancer,with shorter retention time of drainage tube and hospitalization time,which can relieve the pain of patients without increasin

关 键 词：单孔胸腔镜 肺癌 潘氏负压引流球 胸腔闭式引流 快速康复 

分 类 号：R734.2[医药卫生—肿瘤]