肺癌术后胸腔引流时间的影响因素分析

Analysis of influence factors on the time of chest drainage after surgery for patients with lung cancer

目的探讨肺癌术后胸腔引流时间的影响因素。方法选择2005年1-12月于我院行手术治疗的肺癌患者67例,根据术后胸腔引流时间分为A组(术后胸腔引流时间≤5d)和B组(术后胸腔引流时间>5d),行单因素和Logistic回归分析影响术后引流时间的因素。结果两组在年龄、手术方式、手术切除范围、淋巴结清扫总数、术中出血量、手术时间、胸膜粘连情况及术后住院时间等方面,差异有统计学意义(P<0.05);Logistic多因素分析结果显示:年龄≥60岁、开胸手术、淋巴清扫数≥15枚、胸膜粘连及手术时间≥180min为术后胸腔引流时间的独立影响因素。结论应加强围手术期的个体化管理,仔细评估可能影响术后胸腔引流时间的因素,制定合理的手术策略,减少术后胸腔引流时间。

Objective To study the influence factors on the time of chest drainage after surgery for patients with lung cancer.Methods 67 patients with lung cancer treated with surgery in our hospital from January 2005 to December 2015 were divided into two groups by the time of chestdrainage after surgery.The time of chestdrainage in one group was less or equal to 5days,the time of chest drainage in the other group was more than 5days.The influence factors of the time of chest drainage were analyzed by single factor analysis and logistic regression analysis.Results The differences of ages,methods of surgery,resection range,total retrieved lymph nodes,blood loss during operation,time of operation,condition of pleuraladhesions and hospitalstays after surgery between two groups were statistically significant difference（P〈0.05）.Logistic regression analysis showed that the ages elder than 60,thoracotomy,the number of total retrieved lymph nodes more than 15,pleural adhesions and operation time more than180 min were the independent factors.ConclusionIndividualized management should be strengthened during perioperative period,the influence factors on the time of chest drainage after surgery should be assessed carefully,the reasonable operative strategy should be made for decrease the time of chest drainage.