一种自制胸腔镜标本袋的临床应用效果  

Clinical application effect of a selfmade specimen bag in single-port thoracoscopic lobectomy

作　　者：许琳 邢曼兮 张瑞杰[1] Xu Lin;Xing Manxi;Zhang Ruijie(Department of Thoracic Surgery,Tongji Hospital affiliated to Tongji Medical College of Huazhong University of Science and Technology,Wuhan,Hubei 430030,China)

机构地区：[1]华中科技大学同济医学院附属同济医院胸外科,湖北武汉430030

出　　处：《中国内镜杂志》2025年第1期86-90,共5页China Journal of Endoscopy

摘　　要：目的探讨自制标本袋在单孔胸腔镜肺叶切除术中的应用效果。方法回顾性分析2021年10月-2022年7月该院40例接受单孔胸腔镜肺叶切除术的患者的临床资料,按照操作方法不同,分为常规方法组和新式方法组,各20例。常规方法组一次性使用医用无菌防护套1个,保留一侧约20 cm的长度,底部打结并内翻,用两把卵圆钳夹持袋口,置入胸腔内取出标本;新式方法组在常规方法组操作基础上,于袋口穿入一根引流管。术中标本均由自制标本袋取出。比较两组患者标本装入时间、一次性成功率、伤口愈合情况和近期预后。结果新式方法组无标本脱落,均一次性成功,常规方法组出现两次标本脱落(2/20),两组患者一次性成功率比较,差异无统计学意义(P>0.05);新式方法组标本装入时间平均(36.20±6.08)s,明显短于常规方法组的(57.95±6.59)s,两组患者比较,差异有统计学意义(t=10.85,P<0.01)。所有标本袋均无破损,所有患者手术切口愈合良好,无切口感染和肿瘤种植,并且在1年内无胸腔内播散转移。结论自制胸腔镜取物标本袋制作简单,成本低廉,使用安全便捷,能够节省手术时间,降低医疗成本。Objective To study the clinical application of self-made specimen bags using intraoperative materials in single-port thoracoscopic lobectomy.Methods The clinical data of 40 patients who underwent single-port thoracoscopic lobectomy from October 2021 to July 2022 were retrospectively analyzed,and divided into two groups by different operation methods,the conventional method group and the new method group,20 cases each group.The conventional method group used a medical sterile protective sheath,leaving about 20 cm on one side,knotting the bottom and turning it inward.The mouth of the bag was held with two oval forceps and inserted into the chest cavity to remove the specimen.The new method group followed the same procedure,with the addition of a drainage tube inserted into the bag mouth.Intraoperative specimens were taken out from selfmade specimen bags.The specimen loading time,one-time success rate,wound healing status,and short-term prognosis were compared between the two groups.Results No specimens fell off in the new method group,and all were successfully retrieved on the first attempt.In the conventional method group,specimens fell off twice(2/20),but the difference between the two groups was not significant.The average completion time of specimen loading in the new method group was(36.20±6.08)s,which was significantly shorter in the conventional method group(57.95±6.59)s,with a statistically significant difference(t=10.85,P<0.01).There were no ulcers in any specimen bags,and the surgical incisions of all patients healed well,with no incision infection,no tumor implantation,and no intrathoracic dissemination and metastasis within one year.Conclusion The selfmade thoracoscopic specimen bag is simple to make,low-cost,safe and convenient to use.It can save operation time and reduce medical costs.

关 键 词：自制标本袋 单孔胸腔镜 肺叶切除 引流管 医用无菌防护套 

分 类 号：R653[医药卫生—外科学]