全胸腔镜下上肺叶切除术后放置单管引流疗效分析

目的观察比较全胸腔镜下上肺叶切除术后放置单管引流的效果。方法选取行全胸腔镜下上肺叶切除术患者117例，根据术后放置单管或双管分成两组。观察组（A组）38例，术后放置单管引流。对照组（B组）79例，术后采用传统双管放置引流，比较两组患者疼痛程度、引流量、拔管时间、住院天数及肺部并发症发生情况。结果与B组比较，A组在术后总引流量明显减少（P〈0．05），拔管时间、术后住院天数明显缩短（P〈0．05），而在术后平均疼痛程度评分，术后肺部并发症方面差异无统计学意义（P〉0．05）。结论全胸腔镜下上肺叶切除术后放置单管引流效果确切，操作过程更加简单，减少术后住院时间，值得推广应用。

Objective To evaluate the clinical effect between the single thoracic drainage and double thoracic drainage tube after upper pulmonary lobectomy by VATS. Methods Data from 117 patients who underwent VATS upper pulmonary lobectomy.All the patients were divided into two groups,Group A include 38 patients with single thoracic drainage tube（the tube with side holes at the bottom and the front end, was placed at the top of pleural cavity）,Group B include 79 patients with traditional double drainage tube.The pain severity score, amount of drainage,the duration time with tube,hospitalization days, and the incidence rate of complication after surgery were recorded and analyzed. Results Compard with group B,the group with single drainage tube showed shorter duration of drainage and hospitalization days （ P〈0.05 ） .But there were no statistical significance in the pain severity score and the incidence rate of complication （P〉0.05）. Conclusion The use of single drainage after upper pulmonary lobectomy by VATS have definite effects,it makes the process more simpler, so its worth to be popularized and applied.