不同口径引流管促进微孔胸腔镜术后快速康复的效果研究

Effect of drainage tubes with different diameters in promoting quick recovery after microporous thoracoscopy

目的探讨不同口径引流管对微孔胸腔镜术后康复及切口愈合的影响。方法回顾性分析89例行微孔胸腔镜手术患者的临床资料,分别应用8F、16F、24F引流管。比较术后切口愈合情况及引流情况。结果16F组和8F组术后切口愈合不良率为0%,24F组术后切口愈合不良率为13.3%;16F组与24F组术后引流情况比较,差异无统计学意义(P>0.05);16F组严重皮下气肿或气胸的发生率为0%,低于8F组的13.8%;相较于24F组外接胸瓶,16F组外接负压球可以更早下床活动。结论微孔胸腔镜术后使用16F引流管的效果更好。优化置管技术及缝合技巧有利于切口愈合,实现术后快速康复。

Objective To investigate the effect of drainage tubes with different diameters on rehabilitation and wound healing after microporous thoracoscopy.Methods Clinical materials of 89 patients with microporous thoracoscopy were retrospectively analyzed,and 8 F,16 F and 24 F drainage tubes were used respectively.The wound healing condition and drainage condition after operation were compared.Results The poor healing rate of incision after operation was 0%in group 16 F and group 8 F,while was 13.3%in group 24 F;there was no significant difference in postoperative drainage condition between group 16 F and group 24 F(P>0.05);the incidence of severe subcutaneous emphysema or pneumothorax in group 16 F was 0%,which was lower than 13.8%in group 8 F;compared to patients with the external chest bottle in group 24 F,the patients with external negative pressure ball in group 16 F were able to complete bed-off activity earlier.Conclusion Efficacy of 16 F drainage tube is much better in patients after microporous thoracoscopy.Optimizing the tube placement technology and suture skills are beneficial to wound healing and rapid postoperative recovery.