Clinical Effect Of Thoraccic Drainage Tube Combined With Negative Pressure Ball In VATS For Lung Cancer

Objective:Video assisted thoracoscopic surgery(VATS)is the main surgical procedure for the treatment of non-small cell lung cancer(NSCLC).As a modern high-tech medical equipment equipment,it is superior to traditional thoracotomy in many aspects of the treatment of lung cancer.Small trauma and rapid recovery are the greatest advantages and characteristics of the operation,and closed thoracic drainage after operation is the common understanding of all department of thoracic surgery clinicians,and it is also a general method of postoperative treatment.On the basis of the traditional principle of catheterization,proper improvement of catheterization can help patients achieve quick recovery after operation.In this study,by comparing the clinical effects of the single thoracic closed drainage tube and the chest drainage tube after the thoracoscopic lobectomy,the advantages and disadvantages of the two groups were analyzed,so as to provide the basis for the selection of the best thoracic drainage after lobectomy.Method:102 patients with non-small cell lung cancer in Department of thoracic surgery,the First Affiliated Hospital of Kunming Medical University,Yunnan Province,January 2017,were divided into single thoracic closed drainage tube group(control group),thoracic drainage tube combined with negative pressure ball group(observation group),of which 50 cases in the control group,34 men,16 women,age(57.54 + 9.46)years of age,were observed.There were 52 cases(40 males and 12 females)with an age of(57.90 + 7.42)years.The clinical effects of two groups of lung cancer patients after operation were observed and compared.Results:There was no statistical differences in blood loss[(119.52+67.38)ml vs(113.90±56.26)ml,t=0.458,P=0.289],operation time[(90.36±20.07)min vs(90.23±20.22)min,t=0.032,P=0.410],number of cleaning lymph node[(11.30±2.89)pieces vs(11.13±2.42)pieces,t=0.314,P=0.135],preoperative CRP[(5.37±1.38)mg/L vs(5.80±1.47)mg/L,t=1.527,P=0.587],first days after operation,CRP[(39.72±7.00)mg/L vs(34.29±7.85)mg/L,t=3.680,P=0.487],first days after operation,VAS[(5.46±1.39)vs(5.40±1.46),t=1.990,P=0.665],third days after operation,VAS[(4.30±1.07)vs(4.29±1.16),t=0.052,P=0.429],postoperative complications(P>0.05)between the control group and the observation group.However,compared with control group,there was statistical significance in the differences of drainage duration[(5.36±1.74)d vs(4.19±0.99)d,t=4.173,P=0.005],total volume of chest drainage[(933.44±125.39)ml vs(721.62±92.19)ml,t=9.747,P=0.024],postoperative bed rest time[(33.62±5.98)h vs(27.40±4.49)h,t=5.952,P=0.027],postoperative hospital stay[(8.68±1.91)d vs(6.83 ±1.35)d,=5.660,P=0.020],VAS after operation cough[(5.08±1.68)vs(3.98±1.38),t=3.623,P=0.029],fifth days after operation,VAS[(2.98±1.22)vs(1.94±0.83),1=5.046,P=0.022],fifth days after operation,CRP[(22.38±8.10)mg/L vs(13,14±6.35)mg/L,t=6.425,P=0.036].The clinical effect of the observation group is more advantage.Conclusion:After thoracoscopic lobectomy of lung cancer,the advantage of thoracic drainage tube combined with negative pressure ball drainage is more obvious than that of single thoracic drainage tube,and the drainage effect is better.The patients who use the improved drainage tube for postoperative drainage can get out of bed earlier,reduce the hospitalization time and cost effectively,and have early recovery after operation.High clinical value.