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*

摘要： 目的??探讨改良胸腔引流装置在单孔胸腔镜术治疗自发性气胸后的临床应用价值。方法?回顾性分析该院胸外科以往收治的自发性气胸行单孔胸腔镜肺大疱切除、胸膜固定术治疗的82例患者的临床资料，统计时间为2015年1月1日-2016年8月31日。根据所选用胸腔引流装置的不同分为传统组（A组，42例）和改良组（B组，40例），比较两组患者术后胸腔引流管留置时间、住院时间、使用抗生素时间、胸腔引流量、疼痛程度及并发症发生情况的差异。结果?两组患者术后胸腔引流量的差异无统计学意义（P >0.05）；与A组比较，B组术后胸腔引流管留置时间、住院时间及使用抗生素时间均缩短，术后疼痛程度减轻，术后并发症减少，差异有统计学意义（P <0.05）。结论?在单孔胸腔镜治疗自发性气胸术后，采用改良胸腔引流装置能够让患者快速康复，并且操作简单，具有一定的临床应用价值。
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.