单孔胸腔镜术治疗自发性气胸后两种胸腔引流装置的应用效果对比

发布时间：2019-01-02 07:23

【摘要】：目的探讨改良胸腔引流装置在单孔胸腔镜术治疗自发性气胸后的临床应用价值。方法回顾性分析该院胸外科以往收治的自发性气胸行单孔胸腔镜肺大疱切除、胸膜固定术治疗的82例患者的临床资料,统计时间为2015年1月1日-2016年8月31日。根据所选用胸腔引流装置的不同分为传统组(A组,42例)和改良组(B组,40例),比较两组患者术后胸腔引流管留置时间、住院时间、使用抗生素时间、胸腔引流量、疼痛程度及并发症发生情况的差异。结果两组患者术后胸腔引流量的差异无统计学意义(P0.05);与A组比较,B组术后胸腔引流管留置时间、住院时间及使用抗生素时间均缩短,术后疼痛程度减轻,术后并发症减少,差异有统计学意义(P0.05)。结论在单孔胸腔镜治疗自发性气胸术后,采用改良胸腔引流装置能够让患者快速康复,并且操作简单,具有一定的临床应用价值。
[Abstract]:Objective to evaluate the clinical value of modified thoracic drainage device in the treatment of spontaneous pneumothorax. Methods the clinical data of 82 patients with spontaneous pneumothorax treated by single hole thoracoscopic pneumonectomy and pleural fixation were retrospectively analyzed. The statistical time was from January 1, 2015 to August 31, 2016. According to the choice of thoracic drainage device, the patients were divided into traditional group (group A, 42 cases) and modified group (group B, 40 cases). The degree of pain and the incidence of complications. Results there was no significant difference in postoperative thoracic drainage volume between the two groups (P0.05). Compared with group A, the time of thoracic drainage tube indwelling, hospitalization time and antibiotic use time in group B were shortened, postoperative pain was reduced, postoperative complications were reduced, the difference was statistically significant (P0.05). Conclusion in the treatment of spontaneous pneumothorax by single hole thoracoscopy, the modified thoracic drainage device can make the patients recover quickly, and the operation is simple, which has certain clinical application value.
【作者单位】：遵义医学院附属医院胸外科;
【基金】：卫生部医药卫生科技发展研究中心专项课题(No:W2012RQ43)
【分类号】：R561.4

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