本文關(guān)鍵詞： F尿管 胸腔鏡肺葉切除術(shù) 快速康復(fù)　出處：《中國胸心血管外科臨床雜志》2016年04期 　論文類型：期刊論文

【摘要】：目的探討胸腔鏡肺葉切除術(shù)(video-assisted thoracic surgery,VATS)后應(yīng)用16 F尿管行胸腔引流是否增加了術(shù)后并發(fā)癥及其較28 F引流管的臨床優(yōu)勢。方法 2015年10~12月四川大學(xué)華西醫(yī)院胸外科連續(xù)收治102例肺癌行VATS肺葉切除術(shù)患者,分別應(yīng)用16 F尿管(16 F組,49例)和28 F引流管(28 F組,53例)行胸腔引流,分析術(shù)后胸腔積氣、積液、30 d后胸腔積液,術(shù)后住院時間、引流量、引流持續(xù)時間、術(shù)后引流管拆線時間、視覺疼痛評分(VAS)評分和舒適度及引流口愈合情況。結(jié)果 16 F組胸腔引流總量少于28 F組,差異有統(tǒng)計學(xué)意義[(587.3±323.7)ml vs.(824.1±444.3)ml,P=0.000)]。兩組患者術(shù)后肺部并發(fā)癥發(fā)生率(16 F組,30.6%;28 F組,28.3%)差異無統(tǒng)計學(xué)意義(P=0.102)。16 F組皮下氣腫發(fā)生率(60.0%)顯著高于28 F組(6.7%,P=0.011),16 F組再置管率(2.0%)低于28 F組(5.7%,P=0.048)。16 F組引流時間和術(shù)后住院時間[(54.2±28.6)h,(4.2±1.4)d)]均顯著短于28 F組[(95.6±65.5)h,(6.5±3.0)d,P=0.000,P=0.000)]。16 F組引流管口拆線時間顯著短于28 F組[(8.1±1.2)d vs.(14.3±4.1)d,P=0.033]。而16 F組引流管口Ⅰ級愈合率(100.0%)顯著高于28 F組(58.5%,P=0.014)。結(jié)論胸腔鏡肺葉切除術(shù)后用16 F尿管行胸腔引流可行,且有助于患者快速康復(fù)。
[Abstract]:Objective to investigate whether thoracic drainage with 16F catheter after thoracoscopic lobectomy with video-assisted thoracic surgeryus (VATS) increases postoperative complications and its clinical advantages over 28 F drainage tube. Methods from 2015 to December, thoracic surgery of West China Hospital of Sichuan University was performed. 102 patients with lung cancer underwent VATS lobectomy, Thoracic drainage was performed in 49 cases of 16F urinary catheter group (16F) and 53 cases of 28F drainage tube (group 28F). The postoperative air accumulation, hydrothorax, postoperative hospitalization time, drainage time and drainage duration were analyzed. Results the total amount of thoracic drainage in 16F group was less than that in 28F group. There was no significant difference in the incidence of postoperative pulmonary complications between the two groups (587.3 鹵323.7ml vs.(824.1 鹵444.3ml vs.(824.1 鹵444.3ml Pu 0.000). There was no significant difference in the incidence of postoperative pulmonary complications between the two groups. There was no significant difference in the incidence of emphysema between the two groups (P < 0.102, P < 0.05). The incidence of emphysema in group F was significantly higher than that in group 28F, which was significantly higher than that in group C (6.74.3ml). The recanalization rate in group F was lower than that in group 28F (2.0). The drainage time and postoperative hospital stay in group F were significantly shorter than those in group 28 F [54.2 鹵28.6hU 4.2 鹵1.4 days]. 16F group was significantly shorter than that of 28F group [95.6 鹵65.5dP0. 000 P0. 000] .16F group was significantly shorter than 28F group [8.1 鹵1. 2d vs.(14.3 鹵4.1 d P0. 033], while 16F group was significantly higher than 28 F group (58.5P0. 014). Conclusion thoracoscopy is significantly higher than that of 28 F group (P 0. 014). Thoracic drainage with 16F catheter after lobectomy was feasible. And it is helpful for the patients to recover quickly.
【作者單位】： 四川大學(xué)華西醫(yī)院胸外科;四川大學(xué)華西醫(yī)院呼吸內(nèi)科;
【基金】：四川省科技廳基金資助(2014 SZ 0148;2015 SZ 0158) 四川大學(xué)華西醫(yī)院學(xué)科卓越發(fā)展1.3.5工程項(xiàng)目資助~~
【分類號】：R473.73

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