胃管代替胸管在单孔胸腔镜肺叶切除手术后的临床观察

目的 观察分析单孔胸腔镜辅助下肺叶切除术后置放胃管(口径5.33mm)代替带针胸管(口径6.67mm)的引流效果.方法 通过选取行单孔胸腔镜下肺叶切除术患者82例,据术后置放带针胸管或胃管分成两组:对照组40例,术后置入带针胸管引流;观察组42例,于术后置入胃管引流.对比两组胸水引流量、拔管时间、住院天数、肺部并发症及切口疼痛程度等情况.结果 与对照组比较,观察组在胸水引流量、拔管时间、住院天数和肺部并发症方面无显著性差异(P>0.05),而在切口疼痛程度方面,观察组较对照组减轻(P<0.05).结论 单孔胸腔镜肺叶切除术后放置胃管引流有确切效果,可减轻患者切口疼痛.

Objective To serve and analyze the drainage effect of placing gastric tube(diameter:5.33 mm)instead of thoracic tube with needle(diameter:6.67 mm)after single-port thoracoscopic lobectomy.Methods 82 patients who underwent single-hole thoracoscopic lobectomy were divided into two groups according to the placement of gastric tube or thoracic tube with needle after operation:40 patients in the control group were inserted with thoracic tube with needle after operation.42 patients in the observation group were treated with gastric tube drainage after operation.The drainage volume,extubation time,hospitalization days,pulmonary complications and incision pain degree were compared between the two groups.Results Compared with the control group,there was no significant difference in drainage volume,extubation time,hospitalization days and pulmonary complications between the two groups(P>0.05).But in the aspect of incision pain,the observation group was relieved compared to control group(P<0.05).Conclusion Gastric tube drainage after single port thoracoscopic lobectomy has a definite effect and can reduce incision pain.