在视频辅助胸腔镜手术后使用多侧孔疏通策略是否安全和可行?
Yingxian Dong1,2, Shujun Li3, Guowei Che1,2
1Department of Thoracic Surgery, West China Hospital, Sichuan University, Chengdu, Sichuan, China.
PloS one
|November 22, 2024
概括
多侧孔胸管在VATS后显著改善了肺癌患者的排水性能. 这导致排水时间缩短,与传统胸腔管相比,胸腔溢液的发病率较低.
科学领域:
- 胸部外科手术 胸部外科手术
- 手术瘤学手术瘤学
- 医疗器械 医疗器械
背景情况:
- 优化胸管管理对于加速肺癌患者在视频辅助胸腔镜手术 (VATS) 后的恢复至关重要.
- 具有侧孔的传统胸腔管是标准的,但它们的排水效率可能是患者康复的限制因素.
研究的目的:
- 在接受VATS的患者中,与传统的侧面毛孔排水相比,评估多边毛孔胸管的排水性能.
- 评估多侧孔胸管对术后并发症的影响.
主要方法:
- 一项随机研究,涉及228名从2023年9月到2024年6月接受VATS的患者.
- 患者被分为两组:多边毛孔排水组 (MDG) 和常规侧面毛孔排水组 (CDG).
- 测量的主要结果是胸部排水性能;次要结果包括术后并发症.
主要成果:
- 与MDG相比,MDG表现出明显更高的每日和总排水量 (分别P<0.01和P=0.04).
- 排水时间在MDG (36.41小时) 中明显短于CDG (51.02小时) (P<0.01).
- 与CDG (9.0%) (P=0.04) 相比,在MDG (1.7%) 中,流的发生率明显较低.
结论:
- 与传统的胸管相比,多侧孔胸管在VATS后提供了优越的排水性能.
- 使用多侧孔胸管可能会降低多流的风险,缩短恢复时间.
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