数字化胸腔引流系统在肺术后支气管胸膜瘘治疗的应用价值

The Value of Digital Drainage System in the Treatment of Bronchopleural Fistula after Pulmonary Surgery

摘要: 背景与目的：数字化胸腔引流系统(digital drainage system, DDS)在促进微创肺切除术后早期快速康复中可以起到积极的作用，本研究旨在观察总结数字化引流系统用于肺术后支气管胸膜瘘的临床疗效。方法：分析我院2012年1月~2021年1月间收治的30例肺术后支气管胸膜瘘患者，应用数字化胸腔引流系统(数字组) 12例和传统胸腔引流贮液瓶(传统组) 12例。2组性别、年龄、病灶最大径和良恶性无明显统计学差异。总结分析相关临床资料，比较2组带管引流时间与住院时间。结果：与传统组相比，数字组治愈率高，带管引流时间短[34.00 ± 6.700 vs 57.83 ± 8.313, P = 0.049]，住院时间短[33.25 ± 5.619 vs 49.06 ± 5.030, P = 0.048]。治愈率和治疗周期明显优于传统组和目前文献报道情况。结论：数字化引流装置治疗肺术后支气管胸膜瘘是一种安全、有效的方法，缩短引流天数和住院时间，是在处理支气管胸膜瘘时应该考虑到的选择。

Abstract: Background and Objective: The digital drainage system (DDS) can play a positive role in promoting early and rapid recovery after minimally invasive pneumonectomy. This study was conducted to observe and summarize the clinical effect of the digital drainage system for bronchopleural fistula after pulmonary surgery. Methods: A total of 30 patients with bronchopleural fistula after pulmonary surgery admitted to our hospital from January 2012 to January 2021 were analyzed. Twelve patients were treated with digital thoracic drainage system (the digital group) and 12 patients with traditional thoracic drainage fluid bottle (the traditional group). There were no statistically significant differences between the two groups in gender, age, maximum diameter, benign and malignant lesions. The relevant clinical data were summarized and analyzed, and the duration of catheter drainage and hospital stay were compared between the two groups. Results: Compared with the traditional group, the digital group had higher cure rate, shorter catheter drainage time [34.00 ± 6.700 vs 57.83 ± 8.313, P = 0.049], and shorter hospital stay [33.25 ± 5.619 vs 49.06 ± 5.030, P = 0.048]. The cure rate and treatment period were significantly better than the traditional group and the current literature reports. Conclusion: Digital drainage device is a safe and effective method for the treatment of bronchopleural fistula after pulmonary surgery, and it should be considered in the treatment of bronchopleural fistula by shorting the number of days of drainage and hospital stay.