改进单根胸腔引流管引流在上叶肺癌根治术后的应用

Single modified chest tube drainage after radical resection of upper lobe lung cancer

目的探讨上叶肺癌根治术后单根胸腔引流管引流的安全性和可行性。方法对115例行上叶肺癌根治术的患者进行回顾性分析，比较改进单管引流组（单管组，n=62）与传统双管组（双管组，n=53）的引流量、带管时间及术后药物镇痛时间。结果单管组术后患者引流量、带管时间、术后镇痛时间与双管组的差异无统计学意义（P〉0．05）。2组均未出现拔管后再穿刺胸腔引流病例。结论改进的单引流管引流对于上叶肺癌根治术后患者是一种安全、可靠的胸腔引流管置入方法。

Objective To explore the feasibility and safety of thoracic drainage by using a single chest tube after up- per lung lobectomy and lymph node dissection of lung cancer. Methods A total of 115 patients who had upper lung lo- bectomy and lymph node dissection of lung cancer were retrospectively analyzed. The drainage volume, the time with the chest tube and the time of postoperative analgesia were compared between the single modified chest tube group （single tube group, n = 62） and the traditional double chest tube drainage group （ double tube group, n = 53）. Results There were no significant differences between the two groups in the drainage volume , the time with the chest tube and the time of postoperative analgesia （ P 〉 0. 05 ）. No patients needed puncturing for pleura1 drainage after extubation. Conclusion The method of thoracic drainage by using a single modified chest tube is a safe, reliable technique for patients who have upper lung lobectomy and lymph node dissection of lung cancer.