单胸腔引流管在肺癌上叶切除术后的应用

Single chest tube application for upper lung cancer resection

目的比较肺癌上叶切除术后置入单、双胸管的临床效果。方法 2013年3月-2014.12月江苏省昆山市第一人民医院43例肺癌(肿瘤位于上叶)患者,分为双胸腔引流管组[22例,男13例、女9例,年龄(57.2±9.0)岁]和单胸腔引流管组[21例,男12例、女9例,年龄(56.5±9.5)岁]。观察两组的引流管持续时间、引流量、术后住院时间。结果单胸腔引流管组引流量显著少于双胸腔引流管组[(746.4±215.9)m L vs.(522.4±190.1)m L,P<0.05]。两组术后带管时间、住院时间无统计学意义(P>0.05)。结论肺癌(肿瘤位于上叶)上肺切除术后单胸腔引流管引流效果不亚于双胸腔引流管效果,且能减轻患者术后疼痛,带管时间更短,值得临床推广。

Objective To compare clinical results between double and single chest tube applications after upper lung cancer resection. Methods 43 patients with upper lung cancer who underwent upper lobectomy from March 2013 to December 2014 in the first people＇s Hospital of Kunshan were included in this study. All the patients were di- vided into the double-tube group including 22 patients （13 males and 9 females） with their age of 57.2 ±9. 0 years, and the single-tube group including 21 patients （ 12 males and 9 females） with their age of 56. 5 ±9. 5 years. Drain- age duration, amount, and postoperative hospital stay were compared between the two groups. Results Drainage a- mount of the single tube group was significantly smaller than that of the double tube group （746.4 ±215.9 mL vs . 522. 4 ± 190. 1 mL, P 〈 0. 05 ）. There was no statistical difference in drainage duration and postoperative hospital stay between the two groups （P 〉 0. 05 ）. Conclusion Single chest tube is better than or equivalent to double chest tubes after upper lung cancer resection, and drainage duration of single chest tube application might be shorter.