中国胸心血管外科临床杂志

中国胸心血管外科临床杂志

单孔胸腔镜手术治疗胸部良性疾病术后免胸腔引流管的初步体会

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目的 介绍胸部良性疾病经单孔胸腔镜切除术后免胸腔引流管的临床经验。 方法 回顾性分析 2015 年 10 月至 2016 年 10 月我院胸外科 17 例行单孔胸腔镜手术患者的临床资料,其中男 9 例、女 8 例,年龄 33.8(17~58)岁。行肺大疱切除术 7 例,肺楔形切除术 9 例,交感神经烙断术 1 例。 结果 所有患者均经单孔胸腔镜手术有效切除,期间无中转开胸或再次开操作孔,术后不放置胸腔引流管,手术时间为(60.3±8.2)min,术中出血量为(15.2±5.1)ml,术后第 1 d、2 d、3 d 疼痛视觉模拟评分(VAS) 为 6.5±2.2,5.8±2.1,3.5±1.3,术后舒适度评分分别为 8.6±1.3,术后早期下床活动时间为(1.0±0.3)d,切口甲级愈合率 100.0%。17 例患者均无心律失常、肺部感染等并发症,术后随访 6 个月气胸均无复发。 结论 合理选择及严格基线评估,胸部良性疾病经单孔胸腔镜切除术后免胸腔引流管是安全可行的,可能有利于患者术后快速康复。

关键词: 单孔胸腔镜手术; 胸部良性疾病; 胸腔引流管

引用本文: 杨彦辉, 王毅, 石红, 罗雷, 谢晓阳. 单孔胸腔镜手术治疗胸部良性疾病术后免胸腔引流管的初步体会. 中国胸心血管外科临床杂志, 2017, 24(12): 994-997. doi: 10.7507/1007-4848.201701040 复制

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