摘要
目的探究双根8F超细猪尾巴管和单根28F粗胸腔引流管(胸管)在单孔胸腔镜肺叶/肺段切除术中的应用效果。方法回顾性分析2020年1月—2023年8月在南京医科大学附属苏州医院同一医疗组行单孔电视胸腔镜肺段/肺叶切除手术患者的临床资料。将术后使用双根8F超细猪尾巴管引流患者纳入猪尾巴管组,使用单根28F粗胸管引流患者纳入粗胸管组;对比两组患者围手术期资料。结果猪尾巴管组共68例,其中女41例、男27例,平均年龄(54.72±13.34)岁;粗胸管组共80例,其中女40例、男40例,平均年龄(57.60±11.04)岁。两组术后第1、2、3天引流量,术后引流总量,术后带管时间,术后第48小时疼痛评分,术后最大疼痛评分,术后住院时间,术后引流管相关并发症及术后紧急使用注射止痛药物次数差异均有统计学意义(P<0.05)。结论在单孔胸腔镜肺叶/肺段切除术后,应用双超细8F猪尾巴引流,可以减少术后引流量、缩短患者术后带管时间和住院时间、减轻患者术后疼痛、减少紧急使用注射止痛药物次数、降低引流管相关并发症发生率。符合目前快速康复理念,对患者术后康复有利。
Objective To examine the application effectiveness of dual 8F ultrafine pigtail drainage tubes versus a single 28F large-bore chest tube in single-port thoracoscopic lobectomy/segmentectomy.Methods Clinical data of patients who underwent single-port video-assisted thoracoscopic lobectomy/segmentectomy within our medical group from January 2020 to August 2023 were retrospectively analyzed.They were categorized into two groups based on postoperative drainage methods:a dual 8F ultrafine pigtail tubes group and a single 28F large-bore chest tube group.Comparative analysis was performed on perioperative data for the two groups of patients.Results The dual 8F ultrafine pigtail tubes group comprised of 68 patients,with 41 females and 27 males,and an average age of(54.72±13.34)years,while the single 28F large-bore chest tube group comprised of 80 patients,with 40 females and 40 males,and an average age of(57.60±11.04)years.There were statistical differences between the two groups in terms of postoperative drainage volume on day 1,day 2,and day 3,total postoperative drainage volume,postoperative tube placement time,postoperative pain score at 48 hours,maximum postoperative pain score,postoperative hospital stay,postoperative complications related to drainage tubes,and emergency use of pain-relieving medication after surgery(P<0.05).Conclusion After single-port thoracoscopic lobectomy/segmentectomy,the application of dual ultrafine 8F pigtail drainage tubes can lead to a reduction in postoperative drainage volume and shorten the duration of postoperative drainage tube placement and hospital stay,thereby decreasing postoperative pain and the frequency of emergency pain-relieving medication.Moreover,it lowers the incidence of drainage tube-related complications.In alignment with current enhanced recovery after surgery principles,this approach is advantageous for postoperative recovery.
作者
严卫亚
王江南
蔡健
吴献华
丁学兵
YAN Weiya;WANG Jiangnan;CAI Jian;WU Xianhua;DING Xuebing(Department of Thoracic Surgery,Suzhou Hospital Affiliated of Nanjing Medical University,Suzhou,215000,Jiangsu,P.R.China)
出处
《中国胸心血管外科临床杂志》
2024年第12期1788-1793,共6页
Chinese Journal of Clinical Thoracic and Cardiovascular Surgery
关键词
超细8F引流管
胸腔闭式引流
单孔电视胸腔镜手术
肺叶切除术
肺段切除术
Ultrafine 8F drainage tube
closed chest drainage
single-port video-assisted thoracoscopic surgery
pulmonary lobectomy
segmentectomy
