电视胸腔镜肺叶切除术后不同胸腔引流量时拔除胸管对患者恢复的影响

Effect of Thoracic Duct Extraction With Different Thoracic Drainage Volumes on the Recovery of Patients After Video-assisted Thoracoscopic Lobectomy

目的探究电视胸腔镜肺叶切除术后不同胸腔引流量时拔除胸管对患者恢复的影响。方法将100例胸外科患者选入本次研究,均接受电视胸腔镜肺叶切除术治疗,术后均置胸腔引流管,病例选择时间为2016年6月—2017年6月。按照术后24 h的引流量进行分组,其中对照组在引流量达到100~200 ml时拔管,观察组在引流量达到300 ml的时候拔管。结果对照组与观察组的平均拔管时间与住院时间分别为(3.45±0.37)天和(9.84±1.05)天以及(2.12±0.19)天和(7.05±1.33)天,差异有统计学意义,P<0.05。对照组有3例患者出现肺部感染,2例出现气胸,5例出现胸腔积液,4例出现管口延迟愈合,观察组上述并发症分别有1例、0例、1例、1例。两组患者的总并发症发生率经比较存在组间统计学差异,对照组有效率高于观察组(28.00%vs.6.00%,P<0.05)。结论电视胸腔镜肺叶切除术后在24h胸腔引流量达到300 ml时拔除胸管效果确切。

Objective Effect of thoracic duct extraction with different thoracic drainage volumes on the recovery of patients after video-assisted thoracoscopic lobectomy. Methods From June 2016 to June 2017, 100 cases of patients in the Department of thoracic surgery in this study underwent video-assisted thoracoscopic lobectomy, postoperative tube, according to the drainage volume of 24 h after operation, the control group was pulled out when the drainage volume reached 100 to 200 ml, and the observation group was pulled out when the drainage volume reached 300 ml. Results The average extubation time and hospitalization time of the control group and the observation group were （3.45±0.37） days and （9.84±1.05） days, and （2.12±0.19） days and （7.05±1.33） days, the difference was statistically significant, P 〈 0.05. There were 3 cases of pulmonary infection in the control group, 2 cases of pneumothorax, 5 cases of pleural efusion, 4 cases of delayed healing of the tube, the observation group of these complications were 1 case, 0 case, 1 case, 1 case. The total complication rate of the two groups was statistically signifcant diference between the two groups, the control group was signifcantly higher than the observation group （28% vs. 6%, P 〈 0.05）. Conclusion After video-assisted thoracoscopic lobectomy in 24 h chest drainage at 300 ml of chest tube removal efect.