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目的探讨对患者实施胸腔镜微创术后不留置胸腔引流管的安全性与可行性。方法将2016年4月-2017年4月于该院胸外科接受胸腔镜微创手术治疗不留置胸腔引流管的37例患者作为研究对象,分析患者的术后恢复情况。结果该组研究所选取的37例患者均顺利完成手术,在围术期未出现死亡病例及二次手术情况;术后未发生严重并发症情况,无需采取有创处理;术后平均住院(3.6±1.2)d后均出院,出院1周后返院复查,经X线拍摄胸片检查结果显示无任何异常表现。结论临床上在胸腔镜微创术后采取不留置胸腔引流管方式是安全、可行的,符合于快速康复外科治疗理念。
Objective To investigate the safety and feasibility of thoracoscopic minimally invasive surgery in patients without thoracic drainage tube. Methods From April 2016 to April 2017, 37 patients undergoing thoracoscopic minimally invasive thoracoscopic surgery in the department of thoracic surgery without thoracic drainage tube were enrolled in this study. The postoperative recovery was analyzed. Results All the 37 patients selected in this study successfully completed the operation. There were no deaths and secondary surgeries during the perioperative period. No postoperative complications were found and no invasive treatment was required. The average postoperative hospital stay (3.6 ± 1.2) d were discharged after hospital discharge 1 week after the review, chest X-ray examination results showed no abnormalities. Conclusions Clinically, it is safe and feasible to adopt the method of indwelling thoracic drainage tube after thoracoscope minimally invasive surgery, which accords with the concept of rapid rehabilitation surgical treatment.