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食管癌术后单食管床引流管与胸腔、纵隔双管引流的应用效果比较

Single esophageal bed drainage tube versusthoracic and mediastinal double-tube drainageafter esophageal cancer operation

    摘要
  • 摘要:
      目的  探讨食管癌术后在经食管床放置纵隔引流管基础上是否加用胸腔引流管对术后恢复的影响。
      方法  选取100例经上腹右胸或者胸腔镜下食管癌切除患者，将单纵隔引流设为观察组，双管引流设为对照组，各50例。观察并比较2组术后疼痛评分及胸腔残余积液。
      结果  2组患者术后均顺利出院; 2组患者在术后4 d时疼痛评分及胸腔残余积液方面无显著差异(P>0.05), 但观察组术后2、3 d的疼痛评分显著低于对照组(P < 0.05)。
      结论  食管癌术后单纵隔管与双管相较在胸腔积液引流方面无显著差异。但单纵隔引流术后早期疼痛评分较低，有助于患者早期下床活动及有效咳嗽。

     

    Abstract:
      Objective  To study the effect of double thoracic and mediastinal drainage after esophagectomy based on single esophageal bed drainage tube on postoperative recovery of esophageal cancer patients.
      Methods  A total of 100 cases with transabdominal right thoracic esophagectomy or video assisted thoracic esophagectomy in our department were selected. The patients with single mediastinal drainage was set as observation group, and those with double tube drainage was set as control group, with 50 cases in each group. Postoperative pain score and residual pleural effusion were observed.
      Results  All cases were discharged successfully after operation. There was no significant difference between the two groups in postoperative residual pleural effusion, and the pain score at 4 d in the study group(P>0.05), but the pain score at 2, 3 d was lower than the control group(P < 0.05).
      Conclusion  There is no significant difference in the drainage of pleural effusion between two groups after esophagectomy. But the single mediastinal drainage has lower early postoperative pain score, and is helpful for patients to get out of bed and effectively cough in early stage.

     

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