肺上叶切除术后单双胸管引流的疗效与安全性分析

doi:10.3969/j.issn.1006-6233.2017.10.025

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Abstract Objective: To compare the effect of single-tube drainage with that of two-tube drainage after upper lobectomy of lung. Methods: A total of 80 patients conforming to the including standard were randomly classified into a single-tube drainage group and a two-tube drainage group, consisting of 40 patients respectively. Clinical and surgical variables were collected prospectively. Results: There were no significant differences detected between the groups in relation to the amount of drainage or duration of drainage and other issues studied (P>0.05). But patients of single-tube drainage group had significantly lower pain scores from the second day to the fourth day after surgery, and also in two weeks(P<0.05). Conclusion: Single-tube drainage is as safe and effective as two-tube drainage after upper lobectomy of lung. Moreover, single-tube drainage can relieve the postoperative pain for patients.

Key words： Upper lobectomy of lung Chest tube drainage Efficafy

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http://www.hbyxzzs.cn/EN/10.3969/j.issn.1006-6233.2017.10.025 OR http://www.hbyxzzs.cn/EN/Y2017/V23/I10/1671

[1]李昀,廖洪映,孟占鳌.胸腔镜肺癌根治术后早期拔除胸管的回顾性分析[J].实用医学杂志,2015,31(13):2140~2142.
[2] Tanaka M, Sagawa M, Usuda K, et al. Postoperative drainage with one chest tube is appropriate for pulmonary lobectomy: a randomized trial[J].Tohoku Exp Med, 2014, 232(1):55~61.
[3] Watanabe A, Watanabe T, Ohsawa H, et al. Avoiding chest tube placement after video-assisted thoracoscopic wedge resection of the lung[J].Eur Cardiothorac Surg, 2004, 25(5):872~876.
[4] 时辉,梅龙勇,车国卫.肺癌术后胸腔闭式引流术应用的新观念[J].中国肺癌杂志,2010,13(11):999~1003.
[5] Kim EA, Lee KS, Shim YM, et al. Radiographic and CT findings in complications following pulmonary resection[J].Radiographics, 2002, 22(1):67~86.
[6] Alex J, Ansari J, Bahalkar P, et al. Comparison of the immediate postoperative outcome of using the conventional two drains versus a single drain after lobectomy[J].Ann Thorac Surg, 2003, 76(4): 1046~1049.
[7] Icard P, Chautard J, Zhang X, et al. A single 24F Blake drain after wedge resection or lobectomy: a study on 100 consecutive cases[J].Eur Cardiothorac Surg, 2006, 30(4):649~651.
[8] Pawelczyk K, Marciniak M, Kacprzak G, et al. One or two drains after lobectomy A comparison of both methods in the immediate postoperative period[J].Thorac Cardiovasc Surg, 2007, 55(5): 313~316.
[9] Okur E, Baysungur V, Tezel C, et al. Comparison of the single or double chest tube applications after pulmonary lobectomies[J].Eur Cardiothorac Surg, 2009, 35(1):32~35.
[10] 戴维,冯飞跃,王大力.肺叶切除术后单、双胸腔引流管的临床应用[J].临床肺科杂志,2013,18(2):327~329.
[11] Saxena P, Kejriwal N, Newman MA. Use of Blake drains following lung resection[J].Eur Cardiothorac Surg, 2006, 30(6):952; author reply 952~955.
[12] Efstratios E, Apostolakis, Nikolaos G. Single or double drain after lung resections[J].Eur Cardiothorac Surg, 2009, 36(2): 424~428.