在解剖性肺切除后单对双胸管 - 随机试验
Tomasz Gil1, Jarosław Kużdżał2, Jakub Szadurski1
1Department of Thoracic Surgery, St. John Paul II Hospital Krakow, Poland.
Folia medica Cracoviensia
|December 17, 2025
概括
胸部手术后单个胸管排水是有效的,与双管系统相比,排水量和空气泄漏时间较低. 这种方法可以减少接受解剖肺切除的患者的并发症.
科学领域:
- 胸部外科手术 胸部外科手术
- 肺部医学 肺部医学
- 手术排水器手术排水器
背景情况:
- 胸腔排水是一种标准的胸后手术,但排水方案有很大差异.
- 支持使用单个胸腔管而不是传统的双管系统的证据有限.
研究的目的:
- 为了比较单个胸管 (ST) 与双管 (DT) 系统在多排水方面的有效性.
- 确定影响不同胸腔管系统有效性的因素.
主要方法:
- 2016年至2017年期间进行的一项前性随机试验.
- 主要终点:排水时间. 二级终点:排水量和空气泄漏时间.
- 包括312名患者,其中153名在ST组和145名在DT组.
主要成果:
- 在ST和DT组之间的总排水时间没有显著差异 (p = 0.084).
- ST与显著较低的排水量 (1515毫升 vs 1998毫升,p = 0.001),空气泄漏强度 (26.5 vs 64.2毫升/分钟,p = 0.005) 和空气泄漏时间 (59.9 vs 89.0小时,p = 0.002) 相关.
- 在DT组中,并发症发生的频率更高 (p = 0.04).
结论:
- 单个胸管排水与胸管输出,空气泄漏强度和空气泄漏时间的减少有关,在接受解剖肺切除的患者中.
- 与DT系统相比,ST系统表现出良好的安全性,并发症较少.
相关概念视频
Pneumothorax-II
852
Pneumothorax is a medical condition defined by the buildup of air in the pleural space between the lungs and the chest wall. This accumulation of air can lead to partial or complete lung collapse, resulting in a range of clinical manifestations. Understanding the clinical presentation and effective management strategies is crucial for healthcare professionals in providing timely and appropriate care to individuals with pneumothorax.
Clinical Manifestations:
Clinical Manifestations:
852
Flail Chest-II
488
Managing flail chest, a condition characterized by a segment of the chest wall moving independently from the rest of the thoracic cage, requires a comprehensive approach. It includes a thorough assessment of the patient's condition, a diagnostic evaluation to determine the extent of the injury, and the implementation of appropriate medical interventions tailored to the individual's needs.
Assessment:
1. Clinical Evaluation:
History:
Assessment:
1. Clinical Evaluation:
History:
488
Endoscopic Studies II: Thoracocentesis
1.2K
Thoracentesis(Thoracocentesis), commonly known as pleural tap, is a medical procedure where a 22 gauge needle is inserted into the pleural space, the area between the lung and chest wall. This procedure is commonly performed to diagnose or treat various respiratory disorders.
Description
Excess pleural fluid or air may accumulate in some respiratory disorders in the thoracic cavity. To treat pleural effusion, a physician conducts thoracentesis by carefully piercing the chest wall and entering...
Description
Excess pleural fluid or air may accumulate in some respiratory disorders in the thoracic cavity. To treat pleural effusion, a physician conducts thoracentesis by carefully piercing the chest wall and entering...
1.2K


