摘要
目的:比较2根细引流管与1根粗引流管、1根细引流管2种引流方式在单操作孔胸腔镜肺癌根治术后的应用效果。方法:选取2020年4月—2022年10月于延边大学附属医院行单操作孔胸腔镜肺癌根治术的肺癌患者100例作为研究对象,随机分为对照组和试验组,各50例。对照组实施1根粗引流管、1根细引流管引流,试验组实施2根细引流管引流。比较两组手术相关指标、术后疼痛情况、并发症发生情况。结果:两组手术时间、引流时间、术后48 h引流量比较,差异无统计学意义(P>0.05);试验组引流管口Ⅰ期愈合率高于对照组,住院时间短于对照组(P<0.05)。术后12、24、48 h,两组疼痛评分逐渐降低,且试验组低于对照组(P<0.05)。2组并发症总发生率比较,差异无统计学意义(P>0.05)。结论:相较于1根粗引流管、1根细引流管引流,2根细引流管引流可提高引流管口Ⅰ期愈合率,减轻患者疼痛,加快康复速度,且安全性较高。
Objective:To compare the application effect of two drainage methods,two thin drainage tubes versus one thick drainage tube plus one thin drainage tube,after single-port thoracoscopic radical resection of lung cancer.Methods:A total of 100 patients with lung cancer who underwent single-port thoracoscopic radical resection of lung cancer in Yanbian University Affiliated Hospital from April 2020 to October 2022 were selected as the study subjects.They were randomly divided into a control group and an experimental group with 50 cases in each group.The control group was given one thick drainage tube plus one thin drainage tube for drainage and the experimental group was given two thin drainage tubes for drainage.The surgery related indexes,postoperative pain,and complications were compared between the two groups.Results:There was no statistically significant difference in surgical time,drainage time,and postoperative 48 h drainage volume between the two groups(P>0.05).The stageⅠhealing rate of drainage tube orifice in the experimental group was higher than that in the control group,and the length of hospital stay in the experimental group was shorter than that in the control group(P<0.05).At 12,24 and 48 h after operation,the pain scores of the two groups gradually decreased and were lower in the experimental group than in the control group(P<0.05).There was no significant difference in the total incidence of complications between the two groups(P>0.05).Conclusion:Compared with one thick drainage tube plus one thin drainage tube,two thin drainage tubes can increase stageⅠhealing rate of drainage tube orifice,relieve the pain of patients,facilitate the rehabilitation,and have a high safety.
作者
姜云峰
林星
Jiang Yunfeng;Lin Xing(Department of Thoracic Surgery,Yanbian University Affiliated Hospital,Yanji 133000,Jilin Province,China)
出处
《中国社区医师》
2024年第31期14-16,共3页
Chinese Community Doctors
关键词
肺癌根治术
单操作孔胸腔镜肺癌根治术
术后
引流
Radical resection of lung cancer
Single-port thoracoscopic radical resection of lung cancer
Postoperative
Drainage
作者简介
通信作者:林星。
