江苏大学学报（医学版）2025，Vol.35Issue(6)：468-473,6.DOI:10.13312/j.issn.1671-7783.y250037
胸腔镜肺叶切除术中支气管结扎对术后咳嗽的影响
Effect of bronchial ligation in thoracoscopic lobectomy on postoperative cough
詹鹏程 1朱孝中 2顾添一 2李京霖 2陈圣杰2
作者信息
- 1. 江苏大学卓越医师学院,江苏镇江 212001||镇江市第三人民医院普外科,江苏镇江 212021
- 2. 江苏大学附属医院胸外科,江苏镇江 212001
- 折叠
摘要
Abstract
Objective:To investigate the impact of bronchial ligation prior to bronchial division with a linear cutting stapler on the incidence of postoperative cough during video-assisted thoracoscopic lobectomy.Methods:A retrospective analysis was conducted on the clinical data of 235 patients who underwent lobectomy in the Department of Thoracic Surgery,Affiliated Hospital of Jiangsu University,from January 2022 to January 2024.Patients were divided into the bronchial ligation group(67 cases)and the conventional surgery group(97 cases)based on whether bronchial ligation was performed intraoperatively.Baseline characteristics,perioperative indicators,and postoperative complications were compared between the two groups.The Leicester cough questionnaire(LCQ)was used to assess postoperative quality of life,and univariate and multivariate Logistic regression analyses were performed to identify independent risk factors for postoperative cough.Results:No statistically significant differences were observed between the two groups in preoperative general conditions,anesthesia duration,operative time,number of lymph nodes dissected,intraoperative blood loss,number of patients transferred to the ICU,or postoperative hospital stay(P＞0.05).The incidence of postoperative cough in the bronchial ligation group(16.4％)was significantly lower than that in the conventional surgery group(30.9％),with a statistically significant difference(P＜0.05).There were no significant differences in the incidence of other postoperative complications(such as pulmonary infection and atelectasis)between the two groups(P＞0.05).The LCQ quality of life scores in the bronchial ligation group at 1 and 2 months postoperatively were significantly better than those in the conventional surgery group(P＜0.05).Multivariate Logistic regression analysis showed that prolonged anesthesia time,right lung operation,upper lobe tumor location,and conventional surgical approach were independent risk factors for postoperative cough(P＜0.05).Conclusion:Bronchial ligation can reduce the incidence of postoperative cough after lobectomy.关键词
非小细胞肺癌/咳嗽/肺叶切除术/支气管细丝结扎/直线切割缝合器/加速术后恢复Key words
non-small cell lung cancer/cough/lobectomy/bronchial ligation/straight cut stapler/enhanced recovery after surgery分类
医药卫生引用本文复制引用
詹鹏程,朱孝中,顾添一,李京霖,陈圣杰..胸腔镜肺叶切除术中支气管结扎对术后咳嗽的影响[J].江苏大学学报（医学版）,2025,35(6):468-473,6.
