单孔胸腔镜肺楔形切除术后胸腔引流管规格与 术后相关指标的临床观察

Clinical Observation on the Specifications of Thoracic Drainage Tubes and Postoperative Related Indicators after Single-Port Thoracoscopic Wedge Resection of the Lung

摘要: 目的：讨论单孔胸腔镜肺楔形切除术后不同规格胸腔引流管对患者术后疼痛、术后3天引流量、术后拔管时间、术后并发症发生率及出院时间的影响。方法：随机选择2025年6月~2025年12月在安徽医科大学附属第二医院胸外科接受单孔胸腔镜下肺楔形切除术后放置粗胸引管患者30例(粗胸管组胸引管规格为28 F)，同时随机选择本科室同一时间段接受单孔胸腔镜下肺楔形切除术后放置细胸引管患者30例(细胸管组胸引管规格为10 F)。比较两种规格引流管对患者术后疼痛、术后3天引流量、术后拔管时间、术后并发症发生率及出院时间的影响。结果：单孔胸腔镜肺楔形切除术后两组在术后3天引流量、术后拔管时间及出院时间上及术后并发症均无明显差异(P > 0.05)，术后患者疼痛情况细胸管组较粗胸管组减轻(P < 0.05)，术后并发症发生率上无明显差异(P > 0.05)。结论：单孔胸腔镜肺楔形切除术后放置细胸引管在减轻患者疼痛上更有优势，且在术后3天引流量、术后拔管时间、术后并发症发生率及出院时间上与术后放置粗胸引管无明显差异，细胸管能够减少患者术后疼痛，有利于患者术后快速恢复。

Abstract: Objective: The study aimed to investigate the effects of different-sized thoracic drainage tubes on postoperative pain, 3-day drainage volume, postoperative extubation time, postoperative complication rate, and discharge time in patients after single-port thoracoscopic wedge resection of the lung. Methods: From June 2025 to December 2025, 30 patients who underwent single-port thoracoscopic wedge resection of the lung and were placed with thick thoracic drainage tubes (with a tube specification of 28 F) in the Department of Thoracic Surgery of Anhui Medical University Affiliated Second Hospital were randomly selected. At the same time, 30 patients who underwent the same procedure and were placed with thin thoracic drainage tubes (with a tube specification of 10 F) in the same period were randomly selected from the same department. The effects of the two different-sized drainage tubes on postoperative pain, 3-day drainage volume, postoperative extubation time, postoperative complication rate, and discharge time were compared. Results: There were no significant differences in 3-day drainage volume, postoperative extubation time, discharge time, and postoperative complications between the two groups after single-port thoracoscopic wedge resection of the lung (P > 0.05). The postoperative pain in the thin tube group was less severe than that in the thick tube group (P < 0.05), and there was no significant difference in postoperative complication rate (P > 0.05). Conclusion: Placing thin thoracic drainage tubes after single-port thoracoscopic wedge resection of the lung has more advantages in reducing postoperative pain, and there are no significant differences in 3-day drainage volume, postoperative extubation time, postoperative complication rate, and discharge time compared with placing thick thoracic drainage tubes. The thin tube can reduce postoperative pain and facilitate the rapid recovery of patients.