带金属支撑的多侧孔超细引流管对单孔胸腔镜肺上叶切除术后胸腔残腔形成影响的单中心回顾性研究  

Effect of metal-supported multi-sided foramen ultrafine drainage tube on the formation of thoracic residual cavity after uniportal video-assisted thoracoscopic upper lobectomy:A retrospective study in a single center

作　　者：韩志伟 胡文滕 马敏杰[1,2,3,4] 蔺瑞江[1,2,3,4] 李琼 王晨晗 韩彪[2,3,4] HAN Zhiwei;HU Wenteng;MA Minjie;LIN Ruijiang;LI Qiong;WANG Chenhan;HAN Biao(The First Clinical Medical College of Lanzhou University,Lanzhou,730000,P.R.China;Department of Thoracic Surgery,The First Hospital of Lanzhou University,Lanzhou,730000,P.R.China;Major in Research and Development and Application of Key Technologies in Thoracic Surgery Gansu International Science and Technology Cooperation Base,Lanzhou,730000,P.R.China;Gansu Provincial Medical Quality Control Center of Thoracic Surgery,Lanzhou,730000,P.R.China)

机构地区：[1]兰州大学第一临床医学院,兰州730000 [2]兰州大学第一医院胸外科,兰州730000 [3]胸外科关键技术研发与应用专业甘肃省国际科技合作基地,兰州730000 [4]甘肃省胸外科医疗质量控制中心,兰州730000

出　　处：《中国胸心血管外科临床杂志》2024年第3期397-402,共6页Chinese Journal of Clinical Thoracic and Cardiovascular Surgery

基　　金：甘肃省青年科技基金(21JR1RA107);甘肃省自然科学基金(21JR1RA118)。

摘　　要：目的探讨带金属支撑的多侧孔超细引流管对单孔胸腔镜肺上叶切除术后胸腔残腔形成的影响。方法回顾性分析2021年1月—2022年4月兰州大学第一医院胸外科收治的行单孔胸腔镜肺上叶切除术肺癌根治患者的临床资料。根据术中使用超细引流管类型将患者分为试验组(使用带金属支撑的多侧孔10F超细引流管)与对照组(使用普通12F超细引流管)。比较两组患者术后胸腔残腔发生率及手术相关资料。结果共纳入200例患者,其中男126例、女74例,平均年龄57.52岁。试验组90例,对照组110例。试验组术后胸腔残腔的发生率低于对照组,差异有统计学意义(P=0.045);两组患者术后下床活动时间、术后疼痛视觉模拟评分、术后使用镇痛泵时间、术后住院时间、术后胸腔穿刺引流次数、术后引流管拔除时间、住院费用差异有统计学意义(P<0.05);试验组术后肺部感染、胸腔积液、肺不张发生率低于对照组,差异有统计学意义(P<0.05);两组患者术前麻醉时间、手术时间、术中出血量以及术后肺漏气发生率差异无统计学意义(P>0.05)。结论带金属支撑的多侧孔超细引流管可降低单孔胸腔镜肺上叶切除术后胸腔残腔发生率,增加下床活动时间,减轻疼痛和经济负担,降低手术相关并发症发生率,促进患者术后加速康复。单孔胸腔镜肺上叶切除术中应用带金属支撑的多侧孔超细引流管可在临床推广应用。Objective To investigate the effect of multi-sided foramen ultrafine drainage tube with metal support on the formation of thoracic residual cavity after uniportal video-assisted thoracoscopic(VATS)upper lobectomy.Methods The clinical data of the patients who underwent uniportal VATS upper lobectomy for lung cancer in the Department of Thoracic Surgery of the First Hospital of Lanzhou University from January 2021 to April 2022 were retrospectively analyzed.According to the type of ultrafine drainage tube used in the surgery,the patients were divided into a test group(using metal-supported multi-sided foramen ultrafine drainage tube)and a control group(using ordinary 12F ultrafine drainage tube).The incidence of postoperative thoracic residual cavity and operation-related data were compared between the two groups.Results A total of 200 patients were enrolled,including 126 males and 74 females,with a mean age of 57.52 years.There were 90 patients in the test group,and 110 patients in the control group.The incidence of postoperative thoracic residual cavity in the test group was lower than that in the control group(P=0.045).The differences in the postoperative bedtime,postoperative visual analogue scale,postoperative analgesic pump using time,postoperative hospitalization time,times of postoperative thoracentration and drainage,postoperative drainage time and hospitalization cost between the two groups were statistically significant(P<0.05).The incidences of postoperative lung infection,pleural effusion and atelectasis complications were lower in the test group than those in the control group(P<0.05).The differences in the preoperative anesthesia time,operation time,intraoperative bleeding and postoperative lung leakage were not statistically significant(P>0.05).Conclusion The use of multi-sided foramen ultrafine drainage tube with metal support can reduce the incidence of thoracic residual cavity after uniportal VATS upper lobectomy,and can reduce pain and economical burdens and the incidence of operation-related co

关 键 词：超细引流管 单孔电视辅助胸腔镜手术 肺上叶切除术 胸腔残腔 

分 类 号：R734.2[医药卫生—肿瘤]