负压引流管对单孔胸腔镜下肺楔形切除术的临床意义  

Clinical Significance of Negative Pressure Drainage Tube in Single-port Thoracoscopic Wedge Resection of Lung

作　　者：黄斌 HUANG Bin(Department of Cardiothoracic Surgery,First People's Hospital of Fuzhou,Fuzhou 344000,China)

机构地区：[1]抚州市第一人民医院心胸外科,江西抚州344000

出　　处：《中国医学创新》2025年第7期130-133,共4页Medical Innovation of China

摘　　要：目的:评估负压引流管在单孔胸腔镜下肺楔形切除术中的应用效果。方法:选取2021年1月—2024年1月抚州市第一人民医院收治的行单孔胸腔镜下肺楔形切除术患者98例,采用摸球法分为对照组(n=49,留置传统胸导管)、观察组(n=49,留置负压引流管)。比较两组引流效果(胸腔引流量、引流管拔管时间、拆线时间)、围手术期指标(术中出血量、首次下床活动时间)、疼痛程度[现时疼痛强度(PPI)、视觉模拟评分法(VAS)]及术后并发症发生率(胸腔积液、管口渗液、皮下气肿、心律失常)。结果:观察组胸腔引流量少于对照组,引流管拔管、引流管拆线时间、首次下床活动时间均早于对照组(P<0.05);观察组PPI、VAS评分均较对照组低,差异均有统计学意义(P<0.05);两组并发症发生率、术中出血量比较,差异均无统计学意义(P>0.05)。结论:单孔胸腔镜下肺楔形切除术患者应用负压引流管能提高术后引流效果,减轻术后疼痛,促进早期恢复。Objective:To evaluate the application effect of negative pressure drainage tube in single-port thoracoscopic wedge resection of lung.Method:A total of 98 patients underwent single-port thoracoscopic wedge resection of lung admitted to First People's Hospital of Fuzhou from January 2021 to January 2024 were selected and divided into a control group(n=49,with conventional chest tube indwelling)and an observation group(n=49,with negative pressure drainage tube indwelling)using the ball-drawing method.The drainage effect(thoracic drainage volume,drainage tube removal time,suture removal time),perioperative indicators(intraoperative blood loss,first ambulation time),pain intensity[present pain intensity(PPI),visual analog scale(VAS)],and postoperative complication rates(pleural effusion,tube orifice leakage,subcutaneous emphysema,arrhythmia)were compared between the two groups.Result:The thoracic drainage volume in the observation group was less than that in the control group,and the drainage tube removal time,suture removal time and first ambulation time were earlier than those in the control group(P<0.05).The PPI and VAS scores in the observation group were lower than those in the control group,with statistically significant differences(P<0.05).There were no statistically significant differences in the incidence of complications and intraoperative blood loss between the two groups(P>0.05).Conclusion:The application of negative pressure drainage tube in patients undergoing single-port thoracoscopic wedge resection of lung can improve the postoperative drainage effect,relieve postoperative pain and promote early recovery.

关 键 词：负压引流管 单孔胸腔镜 肺楔形切除术 引流效果 并发症 

分 类 号：R47[医药卫生—护理学]