单孔胸腔镜肺癌根治术后使用单根胸腔引流管联合负压引流管的效果观察

目的:探讨单孔胸腔镜肺癌根治术后使用单根胸腔引流管联合负压引流管的效果。方法:选取2018年1月~2020年1月于我院行单孔胸腔镜肺癌根治术的肺癌患者100例为研究对象,采用随机数字表法分为两组,对照组患者放置一根30#多孔胸管,观察组在对照组的基础上放置一根负压引流管。比较两组患者的围术期相关指标、并发症的发生情况、手术VAS评分及CRP及PCT水平的变化情况。结果:两组患者总引流管留置时间和胸腔总引流量相比无统计学差异(P>0.05)。观察组患者的30#多孔胸管留置时间、住院时间及再次胸腔穿刺率显著短于/低于对照组(P<0.05),肺不张、漏气、积液或积气等总并发症发生率显著低于对照组(P<0.05);术后3 d和术后5 d的VAS评分均显著低于对照组(P<0.05),术后3 d的CRP及PCT水平显著低于对照组(P>0.05)。结论:单孔胸腔镜肺癌根治术后使用单根胸腔引流管联合负压引流管可显著减轻患者的疼痛,缩短30#多孔胸管留置时间及住院时间,降低再次胸腔穿刺率及并发症发生率,同时可缓解患者的炎症状态。

Effect of Single Thoracic Drainage Tube Combined with Negative Pressure Drainage Tube after Radical Resection

ABSTRACT Objective: To investigate the effect of single thoracic drainage tube combined with negative pressure drainage tube after radical resection of lung cancer by single-port thoracoscopic surgery. Methods: A total of 100 patients with lung cancer who underwent single-port thoracoscopic radical resection in our hospital from January 2018 to January 2020 were selected as the study objects. They were divided into two groups by random number table method. Patients in the control group were placed with a 30# porous chest tube, and patients in the observation group were placed with a negative pressure drainage tube on the basis of the control group. Perioperative indicators, the occurrence of complications, surgical VAS score and changes in CRP and PCT levels were compared between the two groups. Results: There was no statistically significant difference between the total drainage tube indwelling time and the total drainage volume in the thorax between the two groups (P>0.05). The 30# perforated chest tube indwelling time, length of stay and rate of repeated thoracic puncture in the observation group were significantly shorter/lower than those in the control group (P<0.05). The total complication rate of atelectasis, air leakage, effusion or gas accumulation was significantly lower than that in the control group (P<0.05).VAS scores were significantly lower than those of the control group on 3 d and 5 d postoperatively (P<0.05). The levels of CRP and PCT at 3 d after surgery were significantly lower than those in the control group (P<0.05). Conclusion: The use of single thoracic drainage tube combined with negative pressure drainage tube after the radical resection of lung cancer by single-port thoracoscopic surgery can significantly reduce the pain of patients, shorten the 30# perforated chest tube indwelling time and hospitalization time, reduce the rate of repeated thoracic puncture and the incidence of complications, and relieve the inflammatory state of patients.