摘要
目的探讨单管连续侧孔胸管引流在电视胸腔镜辅助下(VATS)肺叶切除术后应用的可行性。方法 VATS肺叶切术患者92例随机分为两组,术毕分别采用改良单胸管引流(A组,47例)和双胸管引流(B组,45例),比较术后胸管引流相关资料。结果 A组和B组的胸腔引流量、引流管保持时间、自控镇痛按压次数、口服镇痛药给药次数、注射吗啡次数和VAS疼痛评分最大值均无统计学差异(P>0.05)。拔管后,B组有1例因液气胸再次行胸腔穿刺置管引流。结论单管连续侧孔胸腔引流与传统的双管引流效果相仿;但前者置管便捷、创伤小,且花费少,更适合VATS肺叶切除术后应用。
Objective To explore the feasibility of postoperative drain with one chest tube with several side holes in the patients underwent pulmonary lobectomy by video-assisted thoracic surgery（VATS）.Methods A total of 92 patients underwent lobectomy by VATS was assigned into two groups of A（placing one chest tube,47 cases）and B（placing classical two chest tubes,45 cases）.The drain-related indicators were compared.Results There were no significant differences in the amount and duration of drain,maximal value of VAS pain score,the number of patient-controlled analgesia,the times for additional use of oral analgesics and morphine injection between two groups（P〉0.05）.Reinsertion of chest drain tube was needed in one case of group B because of hydropneumothorax after extubation.Conclusion One chest tube drain has a similar efficacy to two chest tubes,but is with the advantages of easier to place,less trauma and cost,and more suitable for the patients underwent pulmonary lobectomy by VATS.
出处
《江苏医药》
CAS
北大核心
2014年第22期2725-2726,共2页
Jiangsu Medical Journal
关键词
胸腔引流管
胸腔镜辅助肺叶切术
Chest drain tube
Pulmonary lobectomy by video-assisted thoracic surgery
