胸腔镜纵隔良性肿瘤切除术后不留置引流管的安全性及可行性分析

Safety and feasibility analysis of non-drainage after thoracoscopic resection of benign mediastinal tumors

目的:探讨胸腔镜纵隔良性肿瘤切除术后不留置引流管的安全性及可行性。方法:采用随机对照法对比胸腔镜纵隔良性肿物切除术后留置与不留置引流管的效果,将2017年12月至2018年12月于我科进行胸腔镜纵隔良性肿瘤切除手术的64例患者分为观察组(n=32)与对照组(n=32)。观察组术后不留置引流管,对照组术后常规留置引流管。对比两组患者的手术时间、术中出血量、术后住院天数、术后疼痛评分及术后并发症情况。结果:两组患者均顺利完成手术。观察组术后住院时间短于对照组,差异有统计学意义,两组术中出血量、手术时间差异无统计学意义。术后第1天、第3天疼痛评分,观察组低于对照组,差异有统计学意义。术后并发症发生率两组差异无统计学意义。结论:胸腔镜纵隔良性肿瘤切除术后不留置引流管可缩短患者术后住院时间,减轻患者术后疼痛,且不额外增加术后并发症的种类及发生率,安全且可行,符合快速康复外科理念。

Objective:To explore the safety and feasibility of non-drainage tube after thoracoscopic resection of benign mediastinal tumors.Methods:A randomized controlled comparison was used to compare the effects of indwelling and non retaining drainage tubes after thoracoscopic benign mediastinal tumor excision,and 64 patients were divided into the observation group(n=32)and the control group(n=32)in our department from December 2017 to December 2018.In the observation group,no drainage tube was placed after operation,while the control group was treated with conventional drainage tube.The operation time,intraoperative blood loss,postoperative days of hospitalization,postoperative pain score and postoperative complications of the two groups were compared.Results:The two groups were all successfully completed.The postoperative hospitalization time in the observation group was shorter than that in the control group,and the difference was statistically significant.There was no significant difference in bleeding volume and operation time between the two groups.The pain scores of the first day and the third day after operation were lower in the observation group than those in the control group.There was no significant difference in postoperative complication rate between the two groups.Conclusion:The non retention of drainage tube after thoracoscopic benign mediastinal tumor resection can shorten the patient's hospitalization time,reduce postoperative pain,and do not increase the type and incidence of postoperative complications.It is safe and feasible,and also conforming to the concept of fast track surgery.