不同胸腔引流方案在非小细胞肺癌患者胸腔镜肺癌根治术后的临床应用效果对比  

Clinical Application Effect Comparison of Different Thoracic Drainage Schemes in Non-small Cell Lung Cancer Patients After Thoracoscopic Lung Cancer Radical Surgery

作　　者：户安喜 HU Anxi(Department of Thoracic Surgery,Zhengzhou Central Hospital Affiliated to Zhengzhou University,Zhengzhou 450007,China)

机构地区：[1]郑州大学附属郑州中心医院胸外科,河南郑州450007

出　　处：《河南医学研究》2024年第8期1384-1387,共4页Henan Medical Research

摘　　要：目的比较不同胸腔引流方案在非小细胞肺癌患者胸腔镜肺癌根治术后的临床应用效果。方法采用回顾性研究,收集2022年1月至2023年6月于郑州大学附属郑州中心医院胸外科接受胸腔镜肺癌根治术且术后给予单胸腔管引流的44例非小细胞肺癌患者病历资料,纳入单胸腔管引流组;收集同期于医院接受胸腔镜肺癌根治术且术后给予双胸腔管引流的44例非小细胞肺癌患者病历资料,纳入双胸腔管引流组,全部患者临床资料均保存完整。查阅患者病历资料,比较两组患者围手术期指标、引流效果、术后疼痛程度及术后并发症发生情况。结果两组围手术期指标、引流效果和术后并发症发生率比较,差异无统计学意义(P>0.05);术后1、3、5 d时,单胸腔管引流组视觉模拟评分(VAS)低于双胸腔管引流组,差异有统计学意义(P<0.05);组内各时点VAS比较,差异有统计学意义(P<0.05)。结论非小细胞肺癌患者胸腔镜肺癌根治术后采用单胸腔管引流或双胸腔管引流的手术效果、引流效果和安全性相当,但前者可以减轻患者术后疼痛程度。Objective To compare the clinical application effects of different thoracic drainage schemes in patients with non-small cell lung cancer after thoracoscopic lung cancer radical surgery.Methods A retrospective study was conducted to collect medical records of 44 non-small cell lung cancer patients who underwent thoracoscopic radical resection of lung cancer at Zhengzhou Central Hospital Affiliated to Zhengzhou University from January 2022 to June 2023 and received postoperative single thoracic tube drainage.The patients were included in the single thoracic tube drainage group.Medical records of 44 non-small cell lung cancer patients who underwent thoracoscopic radical resection of lung cancer in the hospital during the same period were collected and received dual thoracic tube drainage after surgery,and included them in the dual thoracic tube drainage group.All clinical data of patients were well preserved.The perioperative indexes,drainage effect,postoperative pain degree and postoperative complications were compared between the two groups.Results There was no statistical significant difference in perioperative indicators,drainage effectiveness,and postoperative complication rates between the two groups(P>0.05).At 1,3 and 5 days after surgery,the visual analogue scale(VAS)scores of the single thoracic tube drainage group were lower than that of the double thoracic tube drainage group,with a statistical significant difference(P<0.05).The VAS scores at different time points within the group were compared,with a statistical significant difference(P<0.05).Conclusion The surgical effect,drainage effect and safety of using single or double thoracic tube drainage after thoracoscopic lung cancer radical surgery in non-small cell lung cancer patients are equivalent,but the former can reduce the degree of postoperative pain in patients.

关 键 词：非小细胞肺癌 胸腔镜 肺癌根治术 胸腔引流 

分 类 号：R734.2[医药卫生—肿瘤]