Pawelczyk K, Marciniak M, Kacprzak G, Kolodziej J
Department of Thoracic Surgery, Wroclaw Medical University, Wroclaw, Poland.
Thorac Cardiovasc Surg. 2007 Aug;55(5):313-6. doi: 10.1055/s-2007-964930.
The conventional method of double chest tube drainage after lobectomy is well established. The aim of the study was to compare the efficacy of the two-drain versus the single-drain approach after this procedure.
The data of 183 consecutive patients who underwent lobectomy between January 2000 and May 2005 were analyzed: 93 had two drains and 90 had a single, midposition drain. All patients were operated on by one surgeon with the same surgical technique.
Patients with one drain had a shorter hospital stay (7.6 days vs. 9.0 days; P = 0.001). There were no significant differences in the amount of drainage, the necessity of redrainage or broncho-aspiration, and postoperative mortality or complications. The period in which opioids (4.8 days vs. 5.6 days; P = 0.0001) and nonsteroidal anti-inflammatory drugs (6.8 days vs. 7.7 days; P = 0.002) were required was shorter in patients with one drain. The fourth postoperative day was more painful for patients with a double drain. The cost savings in the one-drain group were approximately 125 Euros per patient.
A single-drain method is effective, reduces hospitalization times and the cost of treatment in patients who undergo lobectomy.
肺叶切除术后传统的双胸管引流方法已得到充分确立。本研究的目的是比较该手术后双引流与单引流方法的疗效。
分析了2000年1月至2005年5月期间连续接受肺叶切除术的183例患者的数据：93例采用双引流，90例采用单根中位引流。所有患者均由同一位外科医生采用相同的手术技术进行手术。
单引流患者的住院时间较短（7.6天对9.0天；P = 0.001）。在引流量、再次引流或支气管抽吸的必要性、术后死亡率或并发症方面没有显著差异。单引流患者使用阿片类药物（4.8天对5.6天；P = 0.0001）和非甾体类抗炎药（6.8天对7.7天；P = 0.002）的时间较短。双引流患者术后第四天疼痛更明显。单引流组每位患者节省的费用约为125欧元。
单引流方法有效，可减少肺叶切除患者的住院时间和治疗费用。
