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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

江齐昌 曾莉 李金 瞿文栋 宋永祥 蔡庆勇 徐刚

中国内镜杂志2017,Vol.23Issue(6):1-6,6.
中国内镜杂志2017,Vol.23Issue(6):1-6,6.DOI:10.3969/j.issn.1007-1989.2017.06.001

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

Comparison of thoracic drainage by two kinds of devices after single-port video-assisted thoracoscopic surgery in treatment of primary spontaneous pneumothorax

江齐昌 1曾莉 1李金 1瞿文栋 1宋永祥 1蔡庆勇 1徐刚1

作者信息

  • 1. 遵义医学院附属医院 胸外科,贵州 遵义 563099
  • 折叠

摘要

Abstract

Objective To explore the clinical values of the modified thoracic drainage devices that were applied in treatment of primary spontaneous pneumothorax patients who underwent single-port video-assisted thoracoscopic surgery. Methods Clinical data of 82 primary spontaneous pneumothorax patients who underwent single-port video-assisted thoracoscopic lung wedge resection and pleurodesis from January 1st, 2015 to August 31st, 2016 was analyzed retrospectively. These patients, according to the thoracic drainage devices, were divided into traditional group (Group A, n = 42) or modified group (Group B, n = 40). These statistical data, including duration of thoracic drainage, lengths of hospital stay, duration of using antibiotic, amounts of pleural drainage, scales of pain, and complications of the two groups of patients in postoperative stage, were compared. Results There was no significant differences (P > 0.05) in volumes of thoracic drainage while there were significant differences (P < 0.05) in duration of thoracic drainage, lengths of hospital stay, duration of using antibiotic, scales of pain, and complications in postoperative stage between the two groups. And patients in group B had shorter time of thoracic drainage, hospital stay, and using antibiotic, lower scales of pain and rates of complications when compared with group A. Conclusion There are some clinical values of application of modified thoracic drainage devices in treatment of primary spontaneous pneumothorax underwent single-port video-assisted thoracoscopic surgery, because of it could give the patients fast recovery and made the operations simpler.

关键词

胸腔引流/单孔胸腔镜/自发性气胸

Key words

thoracic drainage/single-port video-assisted thoracoscopic surgery/primary spontaneous pneumothorax

分类

医药卫生

引用本文复制引用

江齐昌,曾莉,李金,瞿文栋,宋永祥,蔡庆勇,徐刚..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[J].中国内镜杂志,2017,23(6):1-6,6.

基金项目

卫生部医药卫生科技发展研究中心专项课题(No :W2012RQ43) (No :W2012RQ43)

中国内镜杂志

OACSTPCD

1007-1989

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