[1]谢延坤.单胸管引流在非小细胞肺癌患者胸腔镜上肺叶切除术后的应用效果[J].新乡医学院学报,2021,38(7):681-684.[doi:10.7683/xxyxyxb.2021.07.017]
　XIE Yankun.Effect of single chest tube drainage in patients with non-small cell lung cancer after thoracoscopic upper lobectomy[J].Journal of Xinxiang Medical University,2021,38(7):681-684.[doi:10.7683/xxyxyxb.2021.07.017]
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单胸管引流在非小细胞肺癌患者胸腔镜上肺叶切除术后的应用效果
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《新乡医学院学报》[ISSN:1004-7239/CN:41-1186/R]

卷:
38
期数:
2021年7
页码:
681-684
栏目:
临床研究
出版日期:
2021-07-05

文章信息/Info

Title:
Effect of single chest tube drainage in patients with non-small cell lung cancer after thoracoscopic upper lobectomy
作者:
谢延坤
（新乡市中心医院心胸外科，河南　新乡　453000）
Author(s):
XIE Yankun
(Department of Cardiothoracic Surgery,Xinxiang Central Hospital,Xinxiang 453000,Henan Province,China)
关键词:
非小细胞肺癌; 胸腔镜; 肺叶切除术; 胸腔引流
Keywords:
non-small cell lung carcinoma; thoracoscope; pulmonary lobectomy; chest drainage
分类号:
R734.2
DOI:
10.7683/xxyxyxb.2021.07.017
文献标志码:
A
摘要:
目的　探讨单胸管引流在非小细胞肺癌（NSCLC）患者胸腔镜上肺叶切除术后的应用效果。方法　选择2018年2月至2019年12月新乡市中心医院收治的126例NSCLC患者为研究对象，所有患者行胸腔镜上肺叶切除术，根据术后引流方式将患者分为观察组（n=64）和对照组（n=62），对照组患者术后给予常规双胸管引流，观察组患者术后给予单胸管引流。记录并比较2组患者的手术时间、术中出血量、术中淋巴结清扫数量、引流管留置时间、总引流量、拔管后是否二次置管或胸腔穿刺、术后住院时间、术后并发症。术后24、48 h及30 d，采用视觉模拟评分（VAS）法评估患者疼痛程度；术后1个月，采用肺癌患者生存质量测定量表（FACT-L）评价患者的生活质量；对2组患者的VAS评分、生活质量评分进行比较。结果　2组患者手术时间、术中出血量、术中淋巴结清扫数量、引流管留置时间、总引流量及术后住院时间比较差异均无统计学意义（P＞0.05）。术后24、48 h及30 d，观察组患者VAS评分显著低于对照组（P＜0.05）。2组患者拔管后均无二次置管或胸腔穿刺。观察组和对照组患者术后并发症发生率分别为7.81%（5/64）、11.29%（7/62），2组患者并发症发生率比较差异无统计学意义（χ2=0.368，P＞0.05）。观察组患者生理状况、情感状况评分和生活质量总分显著高于对照组（P＜0.05），2组患者社会/家庭状况、功能状况和附加关注情况评分比较差异无统计学意义（P＞0.05）。结论　在严格掌握适应证的前提下，NSCLC患者胸腔镜肺上叶切除术后单胸管引流可取得与双胸管引流相似的效果，且能降低术后疼痛程度，提高患者生活质量。
Abstract:
Objective　To investigate the effect of single chest tube drainage in patients with non-small cell lung cancer (NSCLC) after thoracoscopic upper lobectomy.Methods　A total of 126 patients with NSCLC admitted to Xinxiang Central Hospital from February 2018 to December 2019 were selected as the research subjects.All patients underwent thoracoscopic upper lobectomy,and the patients were divided into observation group (n=64) and control group (n=62) according to the postoperative drainage methods.The patients in the control group were given conventional double chest tube drainage after operation,while the patients in the observation group were given single chest tube drainage after operation.The operation time,intraoperative bleeding volume,the number of lymph node dissection,drainage tube retention time,total drainage volume,second drainage or thoracentesis after extubation,postoperative hospitalization time and postoperative complications were recorded and compared between the two groups.The pain of patients was evaluated by visual analogue scale (VAS) at 24 hours,48 hours and 30 days after operation.The quality of life of the patients was assessed by the functional assessment of cancer therapy-lung (FACT-L) at one month after operation.The VAS score and quality of life score were compared between the two groups.Results　There was no significant difference in the operation time,intraoperative bleeding volume,the number of lymph node dissection,drainage tube retention time,total drainage volume and postoperative hospitalization time between the two groups(P>0.05).The VAS score of patients in the observation group was significantly lower than that in the control group at 24 hours,48 hours and 30 days after operation (P＜0.05).There was no second drainage or thoracentesis after extubation in the two groups.The incidence of postoperative complications in the observation group and the control group was 7.81% (5/64) and 11.29% (7/62),respectively.There was no significant difference in the incidence of postoperative complications between the two groups (χ2=0.368,P>0.05).The scores of physiological status,emotional status and the total score of quality of life in the observation group were significantly higher than those in the control group (P＜0.05).There was no significant difference in the scores of social/family status,functional status and additional attention between the two groups (P>0.05).Conclusion　On the premise of strictly mastering the indications,the single chest tube drainage after thoracoscopic upper lobectomy can achieve similar results as double chest tube drainage,and reduce postoperative pain and improve the quality of life of patients with NSCLC.

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更新日期/Last Update: 2021-07-05