摘要
目的比较数字式胸腔引流系统与传统三联瓶引流在肺部手术后患者的应用效果,探讨数字式胸腔引流系统的优势。方法回顾性分析2016年9月至2017年5月北京大学国际医院胸外科42例肺部手术患者的临床资料,其中男30例、女12例,年龄34(19~81)岁。术后采用Thopaz数字引流装置患者21例(digital drainage system,DDS组),传统三联瓶引流患者21例(traditional drainage system,TDS组),观察术后治疗效果。比较两组患者的漏气时间、术后带管时间、住院时间、48 h引流量及住院费用。结果两组患者均顺利出院,与TDS组相比,DDS组的术后漏气时间、术后带管时间及住院时间明显缩短[(35.6±16.3)h vs.(48.2±20.1)h,P=0.02;(50.0±16.1)h vs.(62.0±20.4)h,P=0.03;(5.9±2.3)d vs.(7.8±3.5)d,P=0.02],48 h引流量及总住院费用差异无统计学意义。结论肺部手术后采用数字引流系统可以明显缩短患者术后漏气时间及术后引流管留置时间,同时不增加总住院费用。
Objective To compare the digital drainage system and the traditional after lung surgery, and to evaluate the advantages of digital drainage system. Methods drainage system in the patients A retrospective analysis of consecutive 42 patients with lung surgery between September 2016 and May 2017 in Beijing University International Hospital was done. There were 30 males and 12 females with a median age of 34 years ranging 19-81 years. After the surgery 21 patients adopted Thopaz digital drainage device （a DDS group）, and the other 21 patients adopted traditional drainage （a TDS group）. Duration of air leakage and chest tube placement, length of hospital stay, thoracic drainage volume within 48 h and hospitalization expenses in the two groups were compared. Results The patients in the two groups were all successfully discharged. Compared with the TDS group, duration of air leakage and chest tube placement and length of hospital stay significantly shortened in the DDS group （35.6±16.3 h vs. 48.2±20.1 h, P=0.02; 50.0±16.1 h vs. 62.0±20.4 h, P=0.03; 5.9±2.3 d vs. 7.8±3.5 d, P=0.02）, and thoracic drainage volume within 48 h and hospitalization expenses showed no significant statistical difference between the two groups. Condusion Using digital drainage system after lung surgery can significantly shorten the duration of air leakage and the postoperative drainage, at the same time, without increasing the overall hospitalization expenses.
作者
张洪斌
陆超
梁正
ZHANG Hongbin1, LU Chao2, LIANG Zheng1(1. Department of Thoracic Surgery, Peking University International Hospital, Peking University, Beijing, 102206, P.R.China 2. Department of Radiology, Peking University International Hospital, Peking University, Beijing, 102206, P.R.Chin)
出处
《中国胸心血管外科临床杂志》
CAS
CSCD
2018年第4期289-292,共4页
Chinese Journal of Clinical Thoracic and Cardiovascular Surgery
关键词
数字引流系统
胸腔镜手术
加速康复外科
Digital drainage system
thoracoscopic surgery
enhanced recovery after surgery
