摘要
目的:探究负压引流管在单操作孔胸腔镜下肺癌根治术中的应用效果。方法:采用随机抽签法将96例预行肺癌根治术患者均分为两组。对照组术后在观察孔置入16F胸腔引流管进行引流;研究组则采用16F胸腔引流管+潘式负压引流管进行术后引流。对比两组术后48 h内引流总量、16F引流管留置时间、总引流天数、术后住院天数、引流管口拆线时间、引流管口Ⅰ期愈合情况;统计两组引流相关并发症情况;评估两组术后疼痛程度和舒适度。结果:与对照组比,研究组术后住院时间、引流管口拆线时间均明显缩短,引流管口Ⅰ期愈合率明显升高(P<0.05),但两组48 h内总引流量、总引流天数和引流相关并发症发生率间比较,差异无统计学意义(均P>0.05)。术后1 d时,两组患者疼痛评分和舒适度评分间比较,差异无统计学意义(均P>0.05);术后3 d和5 d时,研究组疼痛评分和舒适度评分均明显低于对照组(P<0.01)。结论:单操作孔胸腔镜下肺癌根治术术后引流中加用负压引流管,可有效缩短16F引流管置管时间,缩短术后住院时间,促进引流管口Ⅰ期愈合,且不会增加术后疼痛,后期舒适度高。
Objective:To explore the application effect of negative pressure drainage tube in patients undergoing radical resection of lung cancer under single-port thoracoscopy.Methods:96 patients undergoing radical resection of lung cancer were divided into two groups by random drawing.In the control group,a 16F thoracic drainage tube was inserted into the observation hole for drainage.In the research group,a 16F thoracic drainage tube+Pan-type negative pressure drainage tube was used for postoperative drainage.The total amount of drainage within 48 hours postoperatively,16F drainage tube indwelling time,total drainage days,postoperative hospital stay,drainage tube stitching time,first stage healing of drainage tube orifice were compared between the two groups after surgery.The drainage-related complications of the two groups were counted,and postoperative pain and comfort were evaluated.Results:Compared with the control group,the postoperative hospital stay and drainage tube removal time in the research group were significantly shortened,and the first-stage healing rate of drainage tube orifice was significantly increased(all P<0.05).There was no significant difference in the total drainage volume,total drainage days and the incidence of drainage-related complications within 48 hours between the two groups(all P>0.05).There was no significant difference in pain score and comfort score between the two groups at 1 days after surgery(P>0.05);at 3 days and 5 days after surgery,the pain score and comfort score of the research group were significantly lower than those of the control group(all P<0.01).Conclusion:The addition of negative pressure drainage tube after single-port thoracoscopic radical resection of lung cancer can effectively shorten the time of 16F drainage tube placement,shorten the postoperative hospital stay,and promote the first-stage healing of the drainage tube orifice without increasing postoperative pain,and the patient’s later comfort is high.
作者
米卫国
MI Weiguo(Department of Thoracic Surgery,Hanzhong Central Hospital,Hanzhong 723000,China)
出处
《陕西医学杂志》
CAS
2021年第7期839-842,共4页
Shaanxi Medical Journal
基金
陕西省肺科临床研究项目(FK16002)。
关键词
肺癌
胸腔镜
单操作孔
引流
负压管
Lung cancer
Thoracoscopy
Single operation port
Drainage
Negative pressure tube
