术后细管辅助粗管胸腔闭式引流置管方式对VATS肺叶切除患者的疗效

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Abstract Objective To explore the effect of thick tube thoracic close drainage assisted by thin tube after video-assisted thoracic surgery(VATS)lobectomy.Methods From August 2009 to August 2016,78 patients with non-small cell lung cancer after VATS lobectomy in our hospital were divided into observation group(n=40,adopting thick tube thoracic close drainage assisted by thin tube)and control group(n=38,adopting conventional improved thoracic close drainage)according to the different methods of closed thoracic drainage.Perioperative condition(operation time,blood loss,number of cleaning lymph node,time of getting out of bed,length of hospitalization,time of remaining the catheter,volume of drainage,drainage effect,VAS pain score),complications rate and patients′satisfaction were compared between two groups.Results Operation time,blood loss,number of cleaning lymph node,time of remaining the catheter and total volume of drainage between two groups had no statistical differences(P＞0.05).Time of getting out of bed and length of hospitalization in the observation group was shorter than that in the control group(P＜0.05).Drainage effect and patients′satisfaction was significantly higher than that in the control group(P＜0.05),the complication rate and VAS pain score was significantly lower than that in the control group(P＜0.05).Conclusion The thoracic close drainage assisted by thin tube has more accurate curative effect,faster recovery,less pain and complications,higher patients′satisfaction,which is worth to be promoted.

Key words： Lobectomy Thoracic close drainage Thin tube Video-assisted thoracic surgery

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	XU Guang

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XU Guang. Effect of thick tube thoracic close drainage assisted by thin tube after VATS lobectomy[J]. 中国当代医药, 2017, 24(7): 38-40.

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http://dangdaiyiyao.com/EN/ OR http://dangdaiyiyao.com/EN/Y2017/V24/I7/38

[1]	臧鑫，赵辉，王俊，等.全胸腔镜与开胸肺叶切除治疗临床Ⅰ/Ⅱ期非小细胞肺癌的多中心对比[J].中华胸心血管外科杂志，2014，30（5）：285-289.
[2]	张卫强，左建新，谭健，等.电视胸腔镜手术对老年非小细胞肺癌患者术后心肺并发症的影响分析[J].中国全科医学，2014，17（2）：220-222.
[3]	张安庆，徐美青，解明然，等.VATS治疗高龄早期非小细胞肺癌患者术后生活质量与开放手术的对比研究[J].安徽医科大学学报，2014，49（10）：1460-1464.
[4]	王通，马少华，闫天生，等.胸腔镜治疗≤10 mm非小细胞肺癌的临床研究[J].中国肺癌杂志，2016，19（4）：216-219.
[5]	徐卫华，陈勇兵，蒋堪秋，等.电视胸腔镜手术对老年非小细胞肺癌患者术后心肺并发症的影响[J].中华老年医学杂志，2015，34（5）：510-511.
[6]	邱斌，冯飞跃，高树庚，等.胸腔镜肺上叶切除术后单、双胸管引流的前瞻性随机对照研究[J].中华胸心血管外科杂志，2016，32（3）：162-164.
[7]	范续，庄汝杰，王雨婷，等.佩戴肢具膝关节骨性关节炎患者VAS疼痛评分的临床研究[J].浙江临床医学，2016，18（5）：832-833.
[8]	范开杰，刘阳，杨博，等.电视胸腔镜肺叶切除术细管辅助胸腔闭式引流疗效分析[J].国际肿瘤学杂志，2015，42（4）：245-248.
[9]	刘菲，张霞，杜凤娇，等.γ-干扰素释放试验检测胸腔积液对诊断结核性胸膜炎的初步探讨[J].中华结核和呼吸杂志，2014，37（5）：323-327.
[10]	孙振宇，孟祥宽，范伟，等.电视胸腔镜手术与开胸手术治疗创伤性血气胸的疗效评价[J].中国医药导刊，2014，16（4）：637-638，640.
[11]	郑瑞春，梁剑平，刘尉，等.应用中号气管插管做改良胸腔闭式引流治疗气胸临床研究[J].河北医学，2014，20（5）：730-733.
[12]	张刚，闫涛，杨金国，等.中心静脉导管与改良式胸腔闭式引流治疗闭合性气胸的临床观察[J].中国医药导刊，2016，18（9）：887-889.
[13]	梁仕兰，卢琼芳，李正兰，等.改良负压引流装置在气胸患者胸腔闭式引流中的应用[J].护理实践与研究，2014，11（5）：59-60.
[14]	艾燕，张春芳，程远大，等.胸腔镜肺叶切除术后两种单根胸腔闭式引流方法的效果比较[J].临床外科杂志，2015，23（12）：923-926.
[15]	韩洪利，张逊，王冬滨，等.电视辅助胸腔镜肺叶切除术后胸腔引流量与拔管时机的研究[J].天津医药，2015，43（1）：85-87.