中国现代手术学杂志2017，Vol.21Issue(2)：113-116,4.DOI:10.16260/j.cnki.1009-2188.2017.02.009
避开肋间神经闭合技术在肺癌手术中的应用价值分析
The Application Value of Avoiding Intercostal Nerve Closure Technique in Lung Cancer Surgery
丁浩 1陆亚东 1马春平1
作者信息
- 1. 张家港市第一人民医院(苏州大学附属张家港医院)心胸外科,张家港215600
- 折叠
摘要
Abstract
Objective To investigate the application value of avoiding intercostal nerve closure technique in lung cancer surgery.Methods From May 2014 to May 2015,94 patients who needed radical lung cancer resection were randomly divided into two groups.There were 46 patients in the control group underwent routine thoracic closure,and 48 patients in the observation group underwent avoiding intercostal nerve closure technique.The operation time,intraoperative blood loss,postoperative drainage volume and drainage time of the two groups were compared.The visual analogue scale(VAS) was used to evaluate the postoperative pain.And results of arterial blood gas were analyzed.Results There was no significant difference of operation time,intraoperative bleeding volume,postoperative drainage and drainage time (P ＞ 0.05).VAS decreased gradually in both two groups after operation (P ＜ 0.05).The 1-day,3-day,post-drainage,and 1-year VAS scores of the observation group were lower than that of the control group (P ＜ 0.05).PaO2 of the observation group was higher than the control group 1 day after operation (P ＜ O.05),while PaCO2 was significantly lower (P ＜ 0.05).The postoperative pulmonary infection rate of the observation group and the control group was 2.1％ (1/48) and 6.5％ (3/46) respectively,with no significant difference (P ＞0.05).Conclusion The thoracic closure technique avoiding intercostal nerve can effectively reduce postoperative pain,and relieve the changes of PaO2 and PaCO2.关键词
避开肋间神经闭合技术/开胸手术/肺肿瘤Key words
avoid intercostal nerve closure technique or edge closure technique/thoracotomy/lung noeplasms分类
医药卫生引用本文复制引用
丁浩,陆亚东,马春平..避开肋间神经闭合技术在肺癌手术中的应用价值分析[J].中国现代手术学杂志,2017,21(2):113-116,4.
