改良置管方式对单孔胸腔镜术后引流管口愈合及引流效果的比较  

Comparison of improved methods of indwelling thoracic drainage tube on the drainage effect and healing of drainage tube orifice after single port thoracoscopic radical resection of lung cancer

作　　者：刘丹[1] 徐宁 朱峰[1] 王路[1] 郭华 马冬春[1] LIU Dan;XU Ning;ZHU Feng;WANG Lu;GUO Hua;MA Dongchun(Department of Thoracic Surgery,Anhui Chest Hospital,Clinical College of Thoracic Medicine,Anhui Medical University,Hefei 230000,China)

机构地区：[1]安徽省胸科医院胸外科,安徽医科大学附属胸科临床学院,合肥230000

出　　处：《临床与病理杂志》2022年第1期172-178,共7页Journal of Clinical and Pathological Research

基　　金：安徽省卫计委医学科学研究计划项目(15tb006)。

摘　　要：目的:比较2种不同的胸腔引流管留置方式对单孔胸腔镜肺癌根治术后引流效果及引流管口愈合、疼痛的影响。方法:收集安徽省胸科医院胸外科2019年12月至2020年5月行单孔胸腔镜肺癌根治术的患者共80例,分别采用单根24F胸引管(传统组)与24F胸引管联合8F微导管(改良组),通过2种不同的置管方式,分析术后引流管留置时间、术后住院时间、术后总引流量、术中出血量、手术时间、切口渗液、切口感染、术后疼痛评分及引流管口愈合情况。结果:与传统组相比,改良组可减少引流管留置时间、引流量、切口渗液,缩短患者平均住院时间,差异有统计学意义(P<0.05)。改良组患者术后疼痛从术后第2天开始较传统组减轻,术后第3天的差异有统计学意义(P<0.05)。结论:改良后的胸腔引流管的留置方式是可行的,有利于患者术后快速康复,可以为患者减轻疼痛、减少切口渗液及引流管口愈合不良的发生率。Objective:To compare the effects of two different indwelling methods of thoracic drainage tube on drainage effect,healing,and pain of drainage tube orifice after single port thoracoscopic radical resection of lung cancer.Methods:A total of 80 patients with lung cancer who underwent single port thoracoscopic radical surgery from December 2019 to May 2020 in Anhui Chest Hospital were collected.Single 24F thoracic drainage tube and 24F thoracic drainage tube combined with 8F microcatheter were used respectively.The indwelling time of postoperative drainage tube,postoperative hospital stay,postoperative total drainage volume,intraoperative blood loss,operation time,incision exudation and incision infection,postoperative pain score and healing of drainage tube orifice were observed and analyzed.Results:Compared with the traditional group,the improved group could reduce the indwelling time of drainage tube,reduce the drainage flow,reduce the incision exudation,and shorten the average hospital stay of patients,and the difference was statistically significant(P<0.05).In terms of postoperative pain,the postoperative pain in the improved group was less than that in the traditional group from the second day after operation,and the difference on postoperative day 3 was statistically significant(P<0.05).Conclusion:The improved method of indwelling thoracic drainage tube is feasible,which is conducive to the rapid recovery of patients after operation,and can reduce the incidence of incision leakage and poor healing of drainage tube orifice.

关 键 词：单孔胸腔镜 胸腔引流管 引流管口愈合不良 

分 类 号：R734.2[医药卫生—肿瘤]