改良T型管引流在甲状腺腺叶切除术中的应用

Application of improved T-shaped tube drainage in thyroid lobectomy

目的评价改良T型管引流在甲状腺腺叶切除术中的引流效果及应用价值。方法选取2019年12月至2020年5月重庆市涪陵中心医院接受甲状腺腺叶切除术的60例患者为研究对象,分为试验组和对照组,每组各30例。试验组使用改良T型引流管引流,对照组使用一次性螺旋负压引流管路引流,记录并比较两组术后24 h引流量、总引流量、72 h拔管率、术后疼痛情况采用视觉模拟评分法(VAS)评分、术区血肿、堵管、拔管困难情况及引流材料价格。结果试验组与对照组术后24 h引流量[(37.9±12.4)mL vs.(44.1±16.9)mL]、总引流量[(63.3±20.5)mL vs.(72.3±22.8)mL]、72 h拔管率(30.0%vs.36.7%)、VAS评分[(2.3±0.6)分vs.(2.2±0.8)分]比较,差异无统计学意义(P>0.05),两组均无术区血肿、堵管及拔管困难发生。改良T型引流管的成本低于一次性螺旋负压引流管(40元/套vs.640元/套)。结论改良T型管在甲状腺腺叶切除术中引流效果好,且成本低廉。

Objective To evaluate the drainage effect and application value of the modified T-type drainage tube in thyroid lobectomy.Methods Sixty patients receiving thyroid lobectomy in Fuling Central Hospital from December 2019 to May 2020 were selected as the study subjects and divided into the experimental group and control group,30 cases in each group.The experimental group used the modified T-type drainage tube for drainage,and the control group used the disposable spiral negative pressure drainage tube for drainage.The postoperative 24 h drainage volume,total drainage volume,72-hour extubation rate,VAS score for postoperative pain,plugging rate,extubation difficulty,number of hematoma in operation area and drainage material price were recorded and compared between the two groups.Results The postoperative 24 h drainage volume of the experimental group and the control group[(37.9±12.4)mL vs.(44.1±16.9)mL],total drainage volume[(63.3±20.5)mL vs.(72.3±22.8)mL],postoperative 72 h extubation rate(30.0%vs.36.7%)and VAS score[(2.3±0.6)points vs.(2.2±0.8)points]had no statistical differences between the two groups(P>0.05).There was no ocurrence of hematoma in the operation area,tube blockage and extubation difficulty in both groups.The cost of the improved T-shaped drainage tube was lower than that of the disposable spiral negative pressure drainage tube(40 Yuan/set vs.640 Yuan/set).Conclusion The modified T-type drainage tube has good drainage effect with lower cost.