第5肋间微创胸腔闭式引流术对老年肺癌合并胸腔积液患者的治疗效果及安全性分析  

Analysis of the Therapeutic Effect and Safety of the 5th Intercostal Minimally Invasive Closed Thoracic Drainage in the Treatment of Elderly Patients with Lung Cancer Combined with Pleural Effusion

作　　者：韩世杰 HAN Shijie(Department of Thoracic Surgery,Songyuan Central Hospital,Songyuan 138000,China)

机构地区：[1]吉林省松原市中心医院胸外科,吉林松原138000

出　　处：《中国伤残医学》2024年第22期66-69,74,共5页Chinese Journal of Trauma and Disability Medicine

摘　　要：目的:探究第5肋间微创胸腔闭式引流术在老年肺癌合并胸腔积液患者治疗中的效果及安全性。方法:选取2023年1月-2024年3月松原市中心医院收治的86例老年肺癌合并胸腔积液患者为研究对象,以抛硬币法将其分为对照组及研究组,各43例。对照组采用常规胸腔穿刺抽液治疗,研究组采用第5肋间微创胸腔闭式引流术治疗。比较两组治疗效果、临床指标、疼痛程度及并发症发生情况。结果:研究组的治疗总有效率为93.02%,高于对照组的76.74%,差异有统计学意义(P<0.05)。治疗后,研究组的引流时间、胸液消失时间及住院时间均短于对照组,差异均有统计学意义(P<0.05)。术后12、24 h,研究组的疼痛视觉模拟评分法评分均低于对照组,且研究组术后24 h的评分低于术后12 h,差异均有统计学意义(P<0.05)。研究组的并发症发生率为9.30%,低于对照组的25.58%,差异有统计学意义(P<0.05)。结论:老年肺癌合并胸腔积液患者经第5肋间微创胸腔闭式引流术治疗的效果显著,其恢复时间缩短,术后疼痛明显减轻,且安全性较高,具有一定的临床应用价值。Objective:To investigate the efficacy and safety of the 5th intercostal minimally invasive closed thoracic drainage in the treatment of elderly patients with lung cancer complicated with pleural effusion.Methods:A total of 86 elderly patients with lung cancer combined with pleural effusion admitted to Songyuan Central Hospital from January 2023 to March 2024 were selected as the study objects.They were divided into a control group and a study group by coin toss method,with 43 cases in each group.The control group was treated with conventional pleural puncture,and the study group was treated with the 5th intercostal minimally invasive closed thoracic drainage.The treatment effect,dinical indet,pain degree and occurrence of complication were compared between the two groups.After treatment,the drainage time,the disappearance time of pleural effusion and the hospitalization time of the study group were shorter than those of the control group,and the differences were statistically significant(P<0.05).At 12、24 h after surgery,the pain Visual Analogue Scale scores of the study group were lower than those of the control group,and the score of the study group at 24 h after surgery was lower than that at 12 h after surgery,the differences were statistically significant(P<0.05).The complication rate of the study group was 9.30%,which was lower than 25.58%of the control group,and the difference was statistically significant(P<0.05).Results:The total effective rate of the study group was 93.02%,which was higher than 76.74%of the control group,the difference was statistically significant(P<0.05).Conclusion:In elderly patients with lung cancer complicated with pleural effusion,the effect of the 5th intercostal minimally invasive closed thoracic drainage is significant,the recovery time is shortened,the postoperative pain is significantly reduced,and the safety is high,which has certain clinical application value.

关 键 词：肺癌 胸腔积液 老年 第5肋间 微创胸腔闭式引流术 治疗效果 安全性 

分 类 号：R734.2[医药卫生—肿瘤]