猪尾巴导管在单孔胸腔镜肺肿瘤手术中应用的有效性评估:基于倾向性评分匹配法的研究  

Evaluation of the effectiveness of pigtail catheter applying in single port video assistant thoracic surgery for pulmonary tumor:a study based on propensity score matching

作　　者：丁一宗[1] 傅于捷[1] 潘文标[1] 唐健[1] 赵晓菁[1] Ding Yizong;Fu Yujie;Pan Wenbiao;Tang Jian;Zhao Xiaojing(Department of Thoracic Surgery,Renji Hospital,School of Medicine,Shanghai Jiao Tong University,Shanghai 200127,China)

机构地区：[1]上海交通大学医学院附属仁济医院胸外科,200127

出　　处：《中华胸心血管外科杂志》2022年第1期33-37,共5页Chinese Journal of Thoracic and Cardiovascular Surgery

摘　　要：目的评估猪尾巴导管在单孔胸腔镜肺肿瘤手术中应用的有效性。方法回顾性分析2020年1月至12月上海交通大学医学院附属仁济医院东院接受单孔胸腔镜肺肿瘤手术的患者共441例,根据是否放置猪尾巴导管分为胸管组和猪尾巴管组,通过倾向性评分匹配法进行1∶1匹配,对比两组患者围手术期的各项指标。结果匹配后每组143例配对成功,匹配后两组间基线特征无统计学差异。对比两组围手术期指标发现,猪尾巴管组患者术后3天胸腔引流总量显著多于胸管组(375.49 ml对285.03 ml,P<0.001),术后两周复查CT示胸腔积液量显著少于胸管组(131.77 ml对178.84 ml,P=0.032),两组术后疼痛评分、引流天数及住院天数无明显统计学差异。结论加放猪尾巴导管可有效改善单孔胸腔镜肺肿瘤术后胸腔引流情况,且不增加患者术后疼痛,不延长胸腔引流及住院天数。Objective To evaluate the effectiveness of pigtail catheter applying in single port video assistant thoracic surgery(VATS)for pulmonary tumor.Methods A total of 441 patients undergoing single port VATS were obtained in this study.The patients were divided into chest-tube group and pigtail-catheter group.We used propensity score matching to match the patients 1∶1 and the clinical factors of the two groups were compared.Results There were 143 patients in each group successfully matched by propensity score matching.The total drainage of 3 days after operation of pigtail-catheter group was significantly more than chest-tube group(375.49 ml vs.285.03 ml,P<0.001).The pleural effusion on CT scan two weeks after surgery of pigtail-catheter group was significantly less than chest-tube group(131.77 ml vs.178.84 ml,P=0.032).There was no significant difference between the two groups for the pain score,drainage days and inpatient days.Conclusion Pigtail catheter can effectively improve the drainage of single port VATS,and there was no influence for the advantage of the surgery.

关 键 词：单孔胸腔镜手术 猪尾巴管 胸腔积液 倾向性评分匹配 

分 类 号：R734.2[医药卫生—肿瘤]