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目的探讨单管连续侧孔胸管引流在电视胸腔镜辅助下(VATS)肺叶切除术后应用的可行性。方法 VATS肺叶切术患者92例随机分为两组,术毕分别采用改良单胸管引流(A组,47例)和双胸管引流(B组,45例),比较术后胸管引流相关资料。结果 A组和B组的胸腔引流量、引流管保持时间、自控镇痛按压次数、口服镇痛药给药次数、注射吗啡次数和VAS疼痛评分最大值均无统计学差异(P>0.05)。拔管后,B组有1例因液气胸再次行胸腔穿刺置管引流。结论单管连续侧孔胸腔引流与传统的双管引流效果相仿;但前者置管便捷、创伤小,且花费少,更适合VATS肺叶切除术后应用。
Objective To investigate the feasibility of chest tube drainage with single-tube continuous lateral hole after VATS lobectomy. Methods Ninety-two patients undergoing VATS lobectomy were randomly divided into two groups. The patients were treated with modified single-tube drainage (group A, n = 47) and double-tube drainage (group B, n = 45) data. Results In group A and group B, there was no significant difference in chest drainage, drainage tube retention time, number of controlled analgesia press, number of oral administration of analgesics, number of injection of morphine and VAS pain score (P> 0.05). After extubation, one patient in group B had thoracentesis and catheter drainage again because of liquid pneumothorax. Conclusions Single-tube continuous lateral pleural drainage is similar to traditional double-tube drainage; however, the former has the advantages of convenient catheterization, less trauma and less cost, which is more suitable for post-VATS lobectomy applications.