胸腹腔镜食管癌手术后单根纵隔引流管的可行性临床研究

Clinical research on the feasibility of single mediastinal drainage tube after thoracoscopic and laparoscopic esophagectomy

目的探讨胸腹腔镜食管癌术后,单根纵隔引流管临床应用的可行性。方法 2015年6月至2016年10月,我科连续收治食管癌行手术治疗患者90例。将患者分为一根组和两根组。两根组(放置胸腔引流管和纵隔引流各1根)45例,男24例、女21例,年龄48~78岁;一根组(纵隔引流管1根)45例,男23例、女22例,年龄45~84岁。比较两组临床结果。结果两组患者术前性别、年龄、病种差异无统计学意义。患者术中出血量、手术时间,术后当日胸腔引流量,拔除胸腔引流管时间、住院时间、肺不张发生率、气胸发生率、包裹性胸腔积液发生率差异均无统计学意义(P<0.05)。结论微创食管癌术后放置单根细纵隔管,未增加因引流不畅而导致的相关并发症发生率,且明显降低患者术后疼痛,可使患者提前下床活动,临床护理方便,值得推广。

Objective To explore the feasibility of single mediastinal drainage tube in treatment of esophageal carcinoma after thoracoscopic combined with laparoscopic surgery.Methods There were 90 esophagus cancer patients treated by surgery in our hospital between June 2015 and October 2016.The patients were allocated into two groups including a single-drainage tube group and a two-drainage tube group.There were 45 patients with 24 males and 21 females at age of 48-78 years in the two-drainage tube group and 45 patients with 23 males and 22 females at age of 45-84 years in the single-drainage tube group.The clinical effect of the two groups was compared.Results There was no statistical difference in gender and age,bleeding amount and surgical duration in operation,thoracic drainage amount,incidence of atelectasis,pneumothorax,and encapsulated effusion between the two groups（P〈0.05）.Discussion Singledrainage tube group displays less postoperative pain,faster recovery,and more convenient clinical care without complication.