摘要目的 探讨单操作孔胸腔镜肺癌根治术后不同胸腔引流方式的效果.方法 将苏州大学附属第一医院胸外科2014年4月至2016年12月行单操作孔胸腔镜肺癌根治术的200例患者分成A、B两组,A组为术后采用30#单根胸腔引流管的患者100例,B组为术后采用30#单根胸腔引流管+1根潘氏负压引流管的患者100例.观察两组术后胸腔引流管量、引流时间、术后再次胸腔穿刺、术后疼痛、住院天数及住院总费用的情况.结果 两组年龄、性别、病理类型及切除肺叶等一般情况比较差异无统计学意义;胸腔总引流量[(1007.40±512.95)ml对(982.35±359.93)ml]和总带管时间[(5.71±2.61)天对(5.43±1.91)天]两组差异无统计学意义(P>0.05);30#胸腔引流管留置时间[(5.71±2.61)天对(2.9±0.61)天]差异有统计学意义(P<0.05);住院时间[(12.05±2.93)天对(13.45±4.15)天]及住院费用[(63376.47±1615.82)元对(64449.82±3650.04)元]差异有统计学意义(P<0.05);A组术后再次胸腔穿刺率7％,B组再次胸腔穿刺率为0,两组比较差异有统计学意义(P<0.05).术后VAS疼痛评分对比:术后第1天(3.55±0.54对3.49±0.50)、第2天(4.1±0.52对4.25±0.56)、第3天(5.7±0.96对5.95±1.14)差异无统计学意义,术后第5天(4.51±1.05对3.69±0.53)差异有统计学意义(P<0.05).结论 在单操作孔胸腔镜肺癌根治术后使用单根胸腔引流管的基础上增加1根负压引流管,不会增加患者术后疼痛,可明显缩短术后住院时间,可有效控制术后再次胸腔穿刺率,从而有效降低患者术后住院费用.

abstractsObjective To investigate the effect of different thoracicdrainage methods afte single holethoracoscopicsurgery for lung cancer. Methods 200 patents with lung cancer undergoing single holethoracoscopicsurgery were divided into two groups :group A and group B in the first affliliated Hospital of Suzhou University from April 2014 to December 2016. Group A:100 patients with 30#single thoracic drainage tube after operation. Groupe B:100 patients with 30#thoracic drainage tube plus a negative pressure drainage tube after operation. The amount of thoracic drainage tube , drainage time , postoperative chest puncture, postoperative pain, hospital stay and total costs of hospitalization were observed in both groups. Results There was no difference in age, sex, pathological type and pulmonary lobectomy between the two groups. Total thoracic drainage [(1007.4±512.95)mlvs.(982.35±359.93)ml]andtotaltubetime[(5.71±2.61)daysvs.(5.43±1.91)days]hadno significant difference between the two groups. There was a significant difference in the length of 30 # thoracic drainage tube [(5.71±2.61)daysvs.(2.9±0.61)days]betweenthetwogroups. Thedifferenceofhospitalizationtime[(12.05±2.93) daysvs.(13.45±4.15)days]andhospitalizationexpenses[(63376.47±1615.82)yuanvs.(64449.82±3650.04)yuan] was statistically significant. The rate of rethoracotomy in gruop A was 7％, the rate of rethoracotomy in group B was 0, the&nbsp;comparison between the two groups was statistically significant. VAS pain scores were compared on the first day and the second day, there was no significant difference on the third day after operation. On the fifth day after operation, the difference was sta-tistically significant. Conclusion Adding a negative pressure drainage tube on the basis of using a single thoracoscopic drain-age tube for radical resection of lung cancer after single hole thoracoscopic surgery will not increase postoperative pain of pa-tients, significantly shorten postoperative hospitalization time, effectively control postoperativerethoracopunchure rate, thus ef-fectively reduce postoperative hospitalization costs of patients.