在单门胸腔镜肺部手术后的吸液与非吸液排水策略:一个前性队列研究
Yang Qiu1, Jian Zhou1, Dongsheng Wu1
1Department of Thoracic Surgery, West China Hospital, Sichuan University, Chengdu, China.
Journal of thoracic disease
|May 13, 2024
概括
单门视频辅助胸腔镜手术 (UniVATS) 后的吸液排水导致流体排水减少,住院时间缩短,与非吸液排水相比. 这种方法可以改善患者在UniVATS程序后的康复.
科学领域:
- 胸部外科手术 胸部外科手术
- 最少侵入性的手术
- 外科手术的结果
背景情况:
- 在单门视频辅助胸腔镜手术 (UniVATS) 后的最佳胸部排水策略方面存在有限的共识.
- 了解吸管与非吸管排水的影响对于优化患者康复至关重要.
- 本研究探讨了UniVATS.中这两种排水方法的比较结果.
研究的目的:
- 在接受UniVATS的患者中,前性地比较吸管和非吸管排水之间的术后结果.
- 评估排水策略对胸管持续时间,排水量,疼痛,并发症和住院时间的影响.
- 确定影响UniVATS患者手术后结果的因素.
主要方法:
- 预计将在2022年10月至2023年1月期间招募206名接受UniVATS治疗的患者.
- 随机的外科医生对吸入或非吸入排水策略的裁量权.
- 主要结局:胸管的持续时间;次要结局:排水量,疼痛评分,并发症,住院时间,住院费用. 统计分析包括单变量和多变量模型.
主要成果:
- 与非吸水排水相比,吸水排水显示出明显较低的总排水量 (280.00比400.00毫升) 和较短的术后住院时间 (3.00比4.00天).
- 吸血组的患者在术后第二天报告疼痛得分较低.
- 胸管的持续时间在各组之间没有显著差异,但多变量分析证实了吸液排水与排水量减少和住院的关联.
结论:
- 吸水排水表现出优于非吸水排水在减少手术后排水量和住院时间的长度为UniVATS.
- 调查结果表明,吸水排水是改善UniVATS后恢复的潜在更有效的策略.
- 进一步的研究可能会探索UniVATS.中吸水排水的长期结果和成本效益.
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