[1]王剑翁 于修义 石思恩 耿国军 林俊峰 姜 杰.超细胸腔引流管在全胸腔镜肺叶切除术的应用分析[J].福建医药杂志,2019,41(05):12-16.
　WANG Jianweng,YU Xiuyi,SHI Sien,et al.The application analysis of ultrafine chest drainage tube in total thoracoscopic lobectomy for lung cancer[J].FUJIAN MEDICAL JOURNAL,2019,41(05):12-16.
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超细胸腔引流管在全胸腔镜肺叶切除术的应用分析()
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《福建医药杂志》[ISSN:1002-2600/CN:35-1071/R]

卷:
41
期数:
2019年05期
页码:
12-16
栏目:
临床研究
出版日期:
2019-10-15

文章信息/Info

Title:
The application analysis of ultrafine chest drainage tube in total thoracoscopic lobectomy for lung cancer
文章编号:
1002-2600(2019)05-0012-05
作者:
王剑翁 于修义 石思恩 耿国军 林俊峰 姜 杰1
厦门大学附属第一医院胸外科(厦门 361003)
Author(s):
WANG Jianweng;  YU Xiuyi; SHI Sien;  GENG Guojun; LIN Junfeng; JIANG Jie
Department of Thoracic Surgery, the First Affiliated Hospital of Xiamen University, Xiamen,Fujian 361003, China
关键词:
肺肿瘤;  全胸腔镜手术;  超细胸腔引流管
Keywords:
lung cancer;  totally thoracoscopic surgery;  ultrafine chest drainage tube
分类号:
R734.2
文献标志码:
B
摘要:
目的 探讨全胸腔镜肺叶切除术中应用超细胸腔引流管和常规粗引流管对引流效果,患者疼痛程度及引流相关并发症的影响。方法 选取2017年1月至2018年9月行全胸腔镜肺癌根治术的156例患者,随机分为A组(超细胸管组)和B组(常规粗胸管组)各78例,比较两组术后引流时间、总引流量、术后住院时间、术后疼痛评分及引流相关并发症发生率等情况。结果 A组术后引流时间、总引流量、引流相关并发症显著少于B组(P<0.05),术后第3、4天疼痛评分A组显著低于B组(P<0.05),两组住院时间、术后第1、3、5天疼痛评分差异无统计学意义(P>0.05)。结论 全胸腔镜肺叶切除术后应用超细胸腔引流管可缩短引流时间,减轻术后疼痛,降低引流相关并发症的发生,且切口愈合美观,是效果确切满意的引流方式。
Abstract:
Objective To investigate the influence of ultrafine chest drainage tube and coarse chest drainage tube on the drainage effect, pain degree and complications of patients with total thoracoscopic lobectomy for lung cancer.Methods In total, 156 patients who underwent total thoracoscopic lobectomy for lung cancer were chosen in the period from January 2017 to September 2018,randomly divided into Group A(n=78)with ultrafine chest drainage tube and Group B(n=78)with traditional coarse chest drainage tube.The drainage time,the total drainage volume, the hospital stay, the pain score after operation and drainage-related complication of both groups were compared.Results The drainage time and the total drainage volume of Group A were significantly fewer than those of Group B(P<0.05).The drainage-related complication after operation of Group A was significantly less than that of Group B(P<0.05).The pain scores in 3 d and 4 d after operation of Group A were significantly fewer than those of Group B(P<0.05).There was no significant difference in the hospital stay and pain scores in 1 d, 2 d and 5 d(P>0.05).Conclusion Compared with traditional coarse chest drainage tube, the application of ultrafine thoracic drainage tube after total thoracoscopic lobectomy can significantly shorten the drainage time, reduce the postoperative pain degree, reduce the drainage-related complication risk, improve the aesthetic effect of the incision.

参考文献/References:

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备注/Memo

备注/Memo:
基金项目:厦门大学附属第一医院厦门市肿瘤医院青年人才科研基金(ZLYYB201702) 1 通信作者,Email:jiangjie06@126.com
更新日期/Last Update: 2019-10-15