中国内镜杂志2026，Vol.32Issue(1)：49-54,6.DOI:10.12235/E20250191
胸腔镜肺段切除术后基于8 h胸腔引流量早期拔管的安全性与可行性研究
Safety and feasibility of early thoracic tube removal based on 8-hour pleural drainage volume after thoracoscopic segmentectomy
刘敏 1邱美蓉 1米芳 1胡蒙 1卓龙彩1
作者信息
- 1. 解放军陆军第七十三集团军医院 胸外科,福建 厦门 361000
- 折叠
摘要
Abstract
Objective To explore the feasibility and safety of removing the thoracic tube based on continuous 8-hour pleural drainage volume(PDV)after thoracoscopic segmentectomy.Methods A retrospective analysis was conducted on the clinical data of 360 patients with pulmonary nodules who underwent thoracoscopic pulmonary segmental resection from July 1,2022 to June 30,2024.Patients with thoracic tube removal based on 8-hour PDV were set as the 8-hour group(173 cases),and patients with thoracic tube removal based on 24-hour PDV were set as the 24-hour group(187 cases).Compare the surgery-related conditions and postoperative complications of the two groups of patients.Results There were no statistically significant differences between the two groups of patients in terms of surgical lung lobes,operation time,intraoperative blood loss,the number of lymph node stations dissected,the number of lymph nodes dissected,and postoperative pathology(P>0.05).The indwelling time of the thoracic tube and the postoperative hospital stay in the 8-hour group were significantly shorter than those in the 24-hour group,and the differences were statistically significant(P<0.05).There was no statistically significant difference in the rates of re-drainage and poor incision healing between the two groups of patients(P>0.05).Conclusion It may be safe and feasible to remove the thoracic tube based on 8-hour PDV after thoracoscopic segmental resection of the lung.Compared with the traditional plan of removing the thoracic tube based on the 24-hour PDV,this method can remove the thoracic tube earlier and shorten the hospital stay.It is worthy of clinical promotion and application.关键词
胸腔引流管/肺结节/胸腔镜/胸腔引流量(PDV)/拔管Key words
thoracic tube/pulmonary nodules/thoracoscopy/pleural drainage volume(PDV)/tube removal分类
医药卫生引用本文复制引用
刘敏,邱美蓉,米芳,胡蒙,卓龙彩..胸腔镜肺段切除术后基于8 h胸腔引流量早期拔管的安全性与可行性研究[J].中国内镜杂志,2026,32(1):49-54,6.
