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

  • 摘要:
    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。

     

    Abstract:
    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 8F, 16F and 24F 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 16F and group 8F, while was 13.3% in group 24F; there was no significant difference in postoperative drainage condition between group 16F and group 24F (P>0.05); the incidence of severe subcutaneous emphysema or pneumothorax in group 16F was 0%, which was lower than 13.8% in group 8F; compared to patients with the external chest bottle in group 24F, the patients with external negative pressure ball in group 16F were able to complete bed-off activity earlier.
    Conclusion Efficacy of 16F 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.

     

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