胸腔镜肺叶切除术后应用单根负压引流球管支气管残端旁引流的临床研究  

Clinical Study of Bronchial Stump Drainage of Single Negative Pressure Drainage Tube After Thoracoscopic Lobectomy of Lung Cancer

作　　者：李彦君 杨朝坤[2] 李明前 曹安 LI Yan-jun;YANG Chao-kun;LI Ming-qian;CAO An(School of Medicine,North Sichuan Medical College,Nanchong 637600,Sichuan,China;Department of Thoracic Surgery,Yibin Second People's Hospital,Yibin 644000,Sichuan,China)

机构地区：[1]川北医学院临床医学系,四川南充637600 [2]宜宾市第二人民医院胸心外科,四川宜宾644000

出　　处：《医学信息》2023年第10期64-67,共4页Journal of Medical Information

基　　金：四川省宜宾市卫健委科研项目(编号:2019wy022)。

摘　　要：目的对比支气管残端旁16F引流管接负压球引流和传统胸腔闭式引流在胸腔镜肺叶切除术中的临床价值。方法选取2018年1月-2020年12月于宜宾市第二人民医院行三孔胸腔镜肺叶切除术的135例患者,试验组应用16F引流管支气管残端旁引流,末端接负压球,对照组应用32F硅胶引流管引流,末端接水封瓶,比较两组术后并发症、临床引流效果和疼痛情况。结果试验组术后并发症总发生率低于对照组,差异有统计学意义(P<0.05);两组胸腔总引流量、引流管留置时间、术后住院时间、术后抗生素使用时间及住院费用比较,差异无统计学意义(P>0.05);试验组术后24 h VAS评分低于对照组,术后镇痛药物使用天数短于对照组,差异有统计学意义(P<0.05)。结论对于胸腔镜肺叶切除术后,支气管残端旁16F引流管接负压球引流与传统胸腔闭式引流临床引流效果相当,而16F引流管接负压球引流有助于减轻术后疼痛,减少术后胸内残腔。Objective To compare the clinical value of 16F drainage tube combined with negative pressure ball drainage and traditional closed thoracic drainage in thoracoscopic lobectomy of lung cancer.Methods A total of 135 patients who underwent three-hole thoracoscopic lobectomy of lung cancer in Yibin Second People's Hospital from January 2018 to December 2020 were selected.The experimental group was treated with 16F drainage tube bronchial stump drainage,and the end was connected with negative pressure ball.The control group was treated with 32F silicone drainage tube drainage,and the end was connected with water sealing bottle.The postoperative complications,clinical drainage effect and pain were compared between the two groups.Results The total incidence of postoperative complications in the experimental group was lower than that in the control group,and the difference was statistically significant(P<0.05).There was no significant difference in total thoracic drainage volume,drainage tube indwelling time,postoperative hospital stay,postoperative antibiotic use time and hospitalization cost between the two groups(P>0.05).The VAS score at 24 h after operation in the experimental group was lower than that in the control group,and the number of days of postoperative analgesic drug use was shorter than that in the control group(P<0.05).Conclusion For thoracoscopic lobectomy,the clinical drainage effect of 16F drainage tube next to the bronchial stump combined with negative pressure ball drainage is equivalent to that of traditional closed thoracic drainage,while 16F drainage tube combined with negative pressure ball drainage helps to reduce postoperative pain and reduce postoperative thoracic residual cavity.

关 键 词：胸腔镜肺叶切除术 负压引流 胸内残腔 

分 类 号：R734.2[医药卫生—肿瘤]