[肺癌上叶切除术单根闭式胸腔引流的回顾性分析]
[Retrospective Analysis of Single Closed Chest Drainage in Superior Lobectomy of Lung Cancer].
作者信息
Bai Qiang, Liu Chunquan, Cui Yong
机构信息
Department of Thoracic Surgery, Beijing Friendship Hospital, Beijing 100050, China.
出版信息
Zhongguo Fei Ai Za Zhi. 2019 Mar 20;22(3):157-160. doi: 10.3779/j.issn.1009-3419.2019.03.07.
BACKGROUND
There is no consensus on one or two chest drains closed chest drainage in superior lobectomy of lung cancer and mediastinal lymph node dissection. This study investigated the postoperative complications about drainage and evaluated the effectiveness.
METHODS
We retrospectively reviewed the clinical data of patients with single closed chest drainage in superior lobectomy of lung cancer and mediastinal lymph node dissection of Beijing Friendship Hospital between April 2012 and May 2017, and evaluated the effectiveness.
RESULTS
From the available data of 301 patients, the complication rate after superior lobectomy was 9.3%, and the complication rate of drainage after superior lobectomy was 5.64%.
CONCLUSIONS
The effectiveness of drainage of single closed chest drainage in superior lobectomy of lung cancer and mediastinal lymph node dissection is no less than double drainage.
背景
在肺癌上叶切除术及纵隔淋巴结清扫术中，使用一根还是两根胸腔闭式引流管进行闭式胸腔引流尚无共识。本研究调查了引流相关的术后并发症并评估了其有效性。
方法
我们回顾性分析了2012年4月至2017年5月间在北京友谊医院接受肺癌上叶切除术及纵隔淋巴结清扫术并采用单根闭式胸腔引流的患者的临床资料，并评估了其有效性。
结果
根据301例患者的可用数据，上叶切除术后的并发症发生率为9.3%，上叶切除术后的引流并发症发生率为5.64%。
结论
在肺癌上叶切除术及纵隔淋巴结清扫术中，单根闭式胸腔引流的引流效果不低于双管引流。
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