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[1]王劍翁 于修義 石思恩 耿國(guó)軍 林俊峰 姜 杰.超細(xì)胸腔引流管在全胸腔鏡肺葉切除術(shù)的應(yīng)用分析[J].福建醫(yī)藥雜志,2019,41(05):12-16.
　WANG Jianweng,YU Xiuyi,SHI Sien,et al.The application analysis of ultrafine chest drainage tube in total thoracoscopic lobectomy for lung cancer[J].FUJIAN MEDICAL JOURNAL,2019,41(05):12-16.
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超細(xì)胸腔引流管在全胸腔鏡肺葉切除術(shù)的應(yīng)用分析()
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《福建醫(yī)藥雜志》[ISSN:1002-2600/CN:35-1071/R]

卷:
41
期數(shù):
2019年05期
頁(yè)碼:
12-16
欄目:
臨床研究
出版日期:
2019-10-15

文章信息/Info

Title:
The application analysis of ultrafine chest drainage tube in total thoracoscopic lobectomy for lung cancer
文章編號(hào):
1002-2600(2019)05-0012-05
作者:
王劍翁 于修義 石思恩 耿國(guó)軍 林俊峰 姜 杰1
廈門大學(xué)附屬第一醫(yī)院胸外科(廈門 361003)
Author(s):
WANG Jianweng;  YU Xiuyi; SHI Sien;  GENG Guojun; LIN Junfeng; JIANG Jie
Department of Thoracic Surgery, the First Affiliated Hospital of Xiamen University, Xiamen,Fujian 361003, China
關(guān)鍵詞:
肺腫瘤;  全胸腔鏡手術(shù);  超細(xì)胸腔引流管
Keywords:
lung cancer;  totally thoracoscopic surgery;  ultrafine chest drainage tube
分類號(hào):
R734.2
文獻(xiàn)標(biāo)志碼:
B
摘要:
目的 探討全胸腔鏡肺葉切除術(shù)中應(yīng)用超細(xì)胸腔引流管和常規(guī)粗引流管對(duì)引流效果,患者疼痛程度及引流相關(guān)并發(fā)癥的影響。方法 選取2017年1月至2018年9月行全胸腔鏡肺癌根治術(shù)的156例患者,隨機(jī)分為A組(超細(xì)胸管組)和B組(常規(guī)粗胸管組)各78例,比較兩組術(shù)后引流時(shí)間、總引流量、術(shù)后住院時(shí)間、術(shù)后疼痛評(píng)分及引流相關(guān)并發(fā)癥發(fā)生率等情況。結(jié)果 A組術(shù)后引流時(shí)間、總引流量、引流相關(guān)并發(fā)癥顯著少于B組(P<0.05),術(shù)后第3、4天疼痛評(píng)分A組顯著低于B組(P<0.05),兩組住院時(shí)間、術(shù)后第1、3、5天疼痛評(píng)分差異無(wú)統(tǒng)計(jì)學(xué)意義(P>0.05)。結(jié)論 全胸腔鏡肺葉切除術(shù)后應(yīng)用超細(xì)胸腔引流管可縮短引流時(shí)間,減輕術(shù)后疼痛,降低引流相關(guān)并發(fā)癥的發(fā)生,且切口愈合美觀,是效果確切滿意的引流方式。
Abstract:
Objective To investigate the influence of ultrafine chest drainage tube and coarse chest drainage tube on the drainage effect, pain degree and complications of patients with total thoracoscopic lobectomy for lung cancer.Methods In total, 156 patients who underwent total thoracoscopic lobectomy for lung cancer were chosen in the period from January 2017 to September 2018,randomly divided into Group A(n=78)with ultrafine chest drainage tube and Group B(n=78)with traditional coarse chest drainage tube.The drainage time,the total drainage volume, the hospital stay, the pain score after operation and drainage-related complication of both groups were compared.Results The drainage time and the total drainage volume of Group A were significantly fewer than those of Group B(P<0.05).The drainage-related complication after operation of Group A was significantly less than that of Group B(P<0.05).The pain scores in 3 d and 4 d after operation of Group A were significantly fewer than those of Group B(P<0.05).There was no significant difference in the hospital stay and pain scores in 1 d, 2 d and 5 d(P>0.05).Conclusion Compared with traditional coarse chest drainage tube, the application of ultrafine thoracic drainage tube after total thoracoscopic lobectomy can significantly shorten the drainage time, reduce the postoperative pain degree, reduce the drainage-related complication risk, improve the aesthetic effect of the incision.

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備注/Memo

備注/Memo:
基金項(xiàng)目:廈門大學(xué)附屬第一醫(yī)院廈門市腫瘤醫(yī)院青年人才科研基金(ZLYYB201702) 1 通信作者,Email:[email protected]
更新日期/Last Update: 2019-10-15