[1]米卫国.负压引流管在单操作孔胸腔镜下肺癌根治术中的临床应用研究[J].陕西医学杂志,2021,50(7):839-842.[doi:DOI:10.3969/j.issn.1000-7377.2021.07.018]
　MI Weiguo.Application effect of negative pressure drainage tube in patients undergoing radical surgery for lung cancer under single-port thoracoscopy[J].,2021,50(7):839-842.[doi:DOI:10.3969/j.issn.1000-7377.2021.07.018]
点击复制

负压引流管在单操作孔胸腔镜下肺癌根治术中的临床应用研究
分享到：

《陕西医学杂志》[ISSN:1000-7377/CN:61-1281/TN]

卷:
50
期数:
2021年7期
页码:
839-842
栏目:
临床研究
出版日期:
2021-07-05

文章信息/Info

Title:
Application effect of negative pressure drainage tube in patients undergoing radical surgery for lung cancer under single-port thoracoscopy
作者:
米卫国
(汉中市中心医院胸外科,陕西 汉中 723000)
Author(s):
MI Weiguo
(Department of Thoracic Surgery,Hanzhong Central Hospital,Hanzhong 723000,China)
关键词:
肺癌;  胸腔镜;  单操作孔;  引流;  负压管
Keywords:
Lung cancer;  Thoracoscopy;  Single operation port;  Drainage;  Negative pressure tube
分类号:
R 734.2
DOI:
DOI:10.3969/j.issn.1000-7377.2021.07.018
文献标志码:
A
摘要:
目的:探究负压引流管在单操作孔胸腔镜下肺癌根治术中的应用效果。方法:采用随机抽签法将96例预行肺癌根治术患者均分为两组。对照组术后在观察孔置入16F胸腔引流管进行引流; 研究组则采用16F胸腔引流管+潘式负压引流管进行术后引流。对比两组术后48 h内引流总量、16F引流管留置时间、总引流天数、术后住院天数、引流管口拆线时间、引流管口Ⅰ期愈合情况; 统计两组引流相关并发症情况; 评估两组术后疼痛程度和舒适度。结果:与对照组比,研究组术后住院时间、引流管口拆线时间均明显缩短,引流管口Ⅰ期愈合率明显升高(P<0.05),但两组48 h内总引流量、总引流天数和引流相关并发症发生率间比较,差异无统计学意义(均P>0.05)。术后1 d时,两组患者疼痛评分和舒适度评分间比较,差异无统计学意义(均P>0.05); 术后3 d和5 d时,研究组疼痛评分和舒适度评分均明显低于对照组(P<0.01)。结论:单操作孔胸腔镜下肺癌根治术术后引流中加用负压引流管,可有效缩短16F引流管置管时间,缩短术后住院时间,促进引流管口Ⅰ期愈合,且不会增加术后疼痛,后期舒适度高。
Abstract:
Objective:To explore the application effect of negative pressure drainage tube in patients undergoing radical resection of lung cancer under single-port thoracoscopy.Methods:96 patients undergoing radical resection of lung cancer were divided into two groups by random drawing.In the control group,a 16F thoracic drainage tube was inserted into the observation hole for drainage.In the research group,a 16F thoracic drainage tube + Pan-type negative pressure drainage tube was used for postoperative drainage.The total amount of drainage within 48 hours postoperatively,16F drainage tube indwelling time,total drainage days,postoperative hospital stay,drainage tube stitching time,first stage healing of drainage tube orifice were compared between the two groups after surgery.The drainage-related complications of the two groups were counted,and postoperative pain and comfort were evaluated.Results:Compared with the control group,the postoperative hospital stay and drainage tube removal time in the research group were significantly shortened,and the first-stage healing rate of drainage tube orifice was significantly increased(all P<0.05).There was no significant difference in the total drainage volume,total drainage days and the incidence of drainage-related complications within 48 hours between the two groups(all P>0.05).There was no significant difference in pain score and comfort score between the two groups at 1 days after surgery(P>0.05); at 3 days and 5 days after surgery,the pain score and comfort score of the research group were significantly lower than those of the control group(all P<0.01).Conclusion:The addition of negative pressure drainage tube after single-port thoracoscopic radical resection of lung cancer can effectively shorten the time of 16F drainage tube placement,shorten the postoperative hospital stay,and promote the first-stage healing of the drainage tube orifice without increasing postoperative pain,and the patient's later comfort is high.

参考文献/References:

[1] 李兰曼,魏 玮.肺癌流行病学和危险因素研究进展[J].肿瘤研究与临床,2018,30(12):875-879.
[2] 钱 俊,周 超,沈宇舟,等.单操作孔胸腔镜手术1.5 cm操作孔取出标本:小切口,大标本[J].中国微创外科杂志,2018,18(7):661-663.
[3] 王 勇,张 勇,白正忠.单操作孔完全胸腔镜与传统三孔胸腔镜治疗肺癌的疗效比较[J].陕西医学杂志,2019,48(12):1670-1672.
[4] 吴 斌,陈海生.胸腔镜肺癌根治术后不同胸腔引流量下拔管的效果观察[J].西南国防医药,2018,28(11):109-111.
[5] 吴砚铭,车国卫.肺癌术后胸腔引流临床应用新进展[J].中国胸心血管外科临床杂志,2020,27(3):354-358.
[6] 俞文峰,潘 亮,张洁萍,等.新型无水胸腔负压引流装置在胸外科术后患者中的应用研究[J].中国肺癌杂志,2020,23(6):509-513.
[7] 陶绍霖,康珀铭,沈 诚,等.数字化胸腔引流系统应用于胸腔镜肺叶切除术后的疗效观察[J].局解手术学杂志,2019,28(12):1003-1006.
[8] 欧玉凤,许丽娜,杜燕婷,等.持续低负压吸引对微创肺叶切除术患者胸腔引流效果的研究[J].护士进修杂志,2018,33(14):41-43.
[9] 王 泽,吕 剑,吴 彬.多槽硅胶软管联合单项式负压引流系统在单操作孔胸腔镜肺癌手术中的临床应用[J].中国临床医学,2020,27(5):128-131.
[10] 周洪霞,杨 梅,廖 虎,等.胸腔镜肺叶切除术后16F尿管胸腔引流可行性的前瞻性队列研究[J].中国胸心血管外科临床杂志,2016,23(4):334-340.
[11] 杨 梅,樊 骏,周红霞,等.胸腔镜肺癌肺叶切除术后16F较28F胸腔引流管应用的临床优势[J].中国肺癌杂志,2015,1(8):512-517.
[12] 徐菊玲,余欢明,蒋雪薇.FTS理念在胸腔镜肺癌术后胸腔引流管管理中的应用[J].湖州师范学院学报,2017,39(10):79-83.
[13] 郑荣芝,童 博,张夏青,等.经皮穴位电刺激辅助快通道麻醉对于胸腔镜肺叶切除术临床研究[J].陕西中医,2018,39(6):797-799.
[14] 王 圆,方文星.单操作孔完全胸腔镜与传统三孔胸腔镜治疗肺癌的效果对比观察[J].中国急救医学,2018,38(1):89.
[15] 罗 洋,何静婷,冯莉娟,等.疼痛恐惧与肺癌胸腔镜术后疼痛的相关性研究[J].中国实用护理杂志,2020,36(33):2586-2590.
[16] Ayyasi M,Ghafari R,Yazdani J,et al.Comparison of ice packs application and relaxation therapy in pain reduction during chest tube removal following cardiac surgery[J].North American Journal of Medical Ences,2014,6(1):19-24.
[17] 闫颖伟.胸腔镜肺叶切除术后不同引流管大小对术后的效果影响[J].临床研究,2019,27(1):95-97.
[18] 陈 椿,郑 炜,郭朝晖,等.超细胸腔引流管在单孔全胸腔镜下肺叶及亚肺叶切除术的临床应用[J].中华胸心血管外科杂志,2016,32(5):80-84.
[19] 黄可南,吴 彬,齐 晨,等.胸腔镜食管癌根治术后胸腔单一负压引流管与常规引流管临床效果比较[J].中华胸部外科电子杂志,2018,32(4):212-215.
[20] 刘武新,马海涛,黄海涛.单操作孔胸腔镜肺癌根治术后不同胸腔引流效果分析[J].中华胸心血管外科杂志,2019,35(9):515-519.
[21] 刘 献,韩滨泽,顾江魁,等.潘式负压引流球联合胸腔闭式引流管在单孔胸腔镜肺癌手术后引流中的应用[J].局解手术学杂志,2020,29(7):545-548.

相似文献/References:

[1]贾丽娟,杜苏丰.重组新城疫病毒疫苗rlRVG对A549荷瘤小鼠瘤体生长的抑制作用[J].陕西医学杂志,2019,(1):6.
　JIA Lijuan,DU Sufeng..The tumor growth influence of recombinant NDV (rlRVG) on lung adenocarcinoma A549transfected in vivo[J].,2019,(7):6.
[2]江茂琼,贾钰铭△,叶文静,等.MDSCs对肺癌小鼠CD8+T细胞及生存期的影响研究[J].陕西医学杂志,2019,(3):293.
　JIANG Maoqiong,JIA Yuming,LI Ting,et al.Effect of MDSCs on CD8 T cells and survival time of lung cancer mice[J].,2019,(7):293.
[3]李君艳,陈国荣.肺癌患者凝血指标与临床特征的关系*[J].陕西医学杂志,2019,(6):718.
　LI Junyan,CHEN Guorong..The relationships between coagulation indicators and clinic characterisitics of patients with lung cancer[J].,2019,(7):718.
[4]王 玲,申 鸿.癌胚抗原、糖类抗原、CA125、血管生成素、细胞角蛋白19片段及甲胎蛋白检测在肺癌诊断中的临床研究*[J].陕西医学杂志,2019,(8):1080.
　WANG Ling,SHEN Hong..The value of tumor markers CEA，CA199，CA125，Ang-2，CYFRA211 and AFP in the diagnosis of lung cancer[J].,2019,(7):1080.
[5]韩 乐,陈文娟△,雷光焰,等.microRNA21、microRNA25在肺癌组织中的表达及意义*[J].陕西医学杂志,2019,(12):1596.
　HAN Le,CHEN Wenjuan,LEI Guangyan,et al.Expression and significance of microRNA21 and microRNA25 in lung cancer tissues[J].,2019,(7):1596.
[6]王 勇,张 勇,白正忠△.单操作孔完全胸腔镜与传统三孔胸腔镜治疗老年肺癌疗效对比研究*[J].陕西医学杂志,2019,(12):1670.
[7]常瑞霞,可春梅.血小板相关参数和凝血指标在肺癌治疗中的变化及意义[J].陕西医学杂志,2021,50(5):610.[doi:DOI:10.3969/j.issn.1000-7377.2021.05.024]
　CHANG Ruixia,KE Chunmei.Changes and significance of platelet-related parameters and coagulation indexes in treatment of lung cancer[J].,2021,50(7):610.[doi:DOI:10.3969/j.issn.1000-7377.2021.05.024]
[8]米 婷,王雅宁.气管镜下宏基因组学二代测序技术在肺癌鉴别诊断中的临床应用价值[J].陕西医学杂志,2022,51(4):437.[doi:DOI:10.3969/j.issn.1000-7377.2022.04.012]
[9]宋宝国,魏 涛,王 沙,等.房间沟及房间隔入路胸腔镜下二尖瓣手术临床应用研究[J].陕西医学杂志,2022,51(7):866.[doi:DOI:10.3969/j.issn.1000-7377.2022.07.024]
[10]张军艳,谷 俊.程序性死亡配体1在肺癌组织中的表达及其与患者病理特征和疾病预后相关性研究[J].陕西医学杂志,2022,51(7):894.[doi:DOI:10.3969/j.issn.1000-7377.2022.07.031]
　ZHANG Junyan,GU Jun.Expression of programmed death ligand 1 in lung cancer tissues and its correlation with pathological characteristics and prognosis[J].,2022,51(7):894.[doi:DOI:10.3969/j.issn.1000-7377.2022.07.031]
[11]张玉琨,李 波,刘 静,等.迷走神经保护对胸腔镜下肺癌根治术后房颤发生的预防作用[J].陕西医学杂志,2021,50(10):1267.[doi:DOI:10.3969/j.issn.1000-7377.2021.10.023]

备注/Memo

备注/Memo:
基金项目:陕西省肺科临床研究项目(FK16002)
更新日期/Last Update: 2021-07-05