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微细胸腔引流管在胸腔镜肺楔形切除术中的应用

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目的 探讨微细胸腔引流管在胸腔镜肺楔形切除术中的临床应用效果。方法 纳入2020年12月至2021年12月在首都医科大学附属北京胸科医院行胸腔镜肺楔形切除手术的100例患者作为研究对象,在组间基线特征可比的原则上,采用随机数字表法分为观察组和对照组,每组50例。观察组术后留置1根8Fr胸腔引流管,对照组术后留置1根26Fr胸腔引流管。比较两组患者的围手术期情况(术中出血量、术后引流量、术后带管时间和术后住院时间)、术后肺扩张度、术后疼痛及并发症发生情况。结果 两组术中出血量、术后引流量、术后带管时间、术后住院时间及术后肺扩张度比较差异无统计学意义(P>0。05)。术后第1天和第2天观察组患者的疼痛程度均明显低于对照组,差异有统计学意义(P<0。0。5)。两组术后均未发生肺部感染或切口感染,切口愈合良好;观察组1例术后第1天发生心房颤动,经对症处理后好转。两组术后并发症发生率比较差异无统计学意义(P>0。05)。结论 胸腔镜肺楔形切除术后留置微细胸腔引流管能有效减轻术后疼痛,加速术后康复,值得临床应用。
Application of micro-thoracic drainage tube in thoracoscopic wedge resection of lung:A single center,prospective,randomized controlled study
Objective To investigate the effect of micro-tube drainage in thoracoscopic wedge lung resection.Method This prospective,randomized clinical trial was performed in the First Department of Thoracic Surgery,Beijing Chest Hospital Affiliated Capital Medical University from December 2020 to December 2021.We prospectively enrolled 100 patients who underwent thoracoscopic wedge resection.Patients were randomly assigned in a 1:1 ratio,with 50 patients in each group.One 8Fr thoracic drainage tube was replaced in the experimental group and one 26Fr thoracic drainage tube was replaced in the control group.The average daily drainage of effusion,postoperative pain,duration of chest tube placement,lung dilation degree and complication were compared between the two groups.Result(1)VAS scores in the first and second days after surgery showed a downward trend,and VAS scores in the observation group were significantly smaller than those in the control group,with statistical difference(P<0.05);(2)There were no significant differences in the average daily drainage volume,duration of chest tube placement,lung dilation,postoperative hospital stay and postoperative complication rate between the two groups(P>0.05).Conclusion The application of micro-chest tube drainage in thoracoscopic wedge pulmonary resection does not affect the postoperative recovery of patients,reduces the postoperative pain of patients,and accelerates the postoperative recovery of patients,which is worthy of clinical promotion.

Thoracoscopic wedge resectionThoracic drainageEnhanced recovery after surgeryPostoperative pain

王春茂、王隽、韩鸣、杨志、王子彤、段勇

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首都医科大学附属北京胸科医院/北京市结核病胸部肿瘤研究所胸外一科,北京 101149

胸腔镜楔形切除术 胸腔引流 加速康复外科 术后疼痛

北京胸科医院院所培育基金

2019-56

2024

中国医刊
人民卫生出版社

中国医刊

CSTPCD
影响因子:1.14
ISSN:1008-1070
年,卷(期):2024.59(2)
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