【摘要】 目的 探讨应用18 F Foley尿管结合加速康复外科围术期管理在电视辅助胸腔镜肺癌切除术后的临床优势。方法 选取我院收治的124例接受手术的肺癌患者，分别应用Foley尿管18 F(67例)和胸腔引流管20 F(57例),分析两组并发症发生率、胸腔引流管留置时间、疼痛程度和患者舒适度。结果 18 F组拔管前后疼痛程度显著低于20 F组(P<0.05),18 F组胸腔积气及皮下气肿发生率显著高于20 F组，胸腔引流管留置时间低于20 F组(P<0.05),舒适度明显高于20 F组(P<0.05)。结论 胸腔镜肺癌切除应用18 F Foley尿管引流可以减轻术后疼痛，并提高患者舒适度，缩短引流管留置时间。更多还原

【Abstract】 Objective To explore the clinical advantages of using an 18F Foley catheter combined with accelerated rehabilitation surgery for perioperative management after video-assisted thoracoscopic resection of lung cancer.Methods One hundred and twenty-four consecutive lung cancer patients who underwent surgery were selected. The patients were treated with 18F Foley catheter(n=67) and 20F chest drainage tube(n=57), respectively. The incidence of complications, retention time of chest drainage tube, degree of pain and patients’ comfort were analyzed in the two groups.Results The pain level before and after extubation in the 20F group was significantly higher than that in the 18F group(P<0.05); The incidence of pneumothorax and subcutaneous emphysema in the 18F group was significantly higher than that in the 20F group, and the duration of thoracic drainage tube placement was significantly shorter than that in the 20F group(P<0.05). The comfort level of the 18F group was significantly higher than that of the 20F group(P<0.05).Conclusions The application of 18F Foley catheter drainage in thoracoscopic lung cancer resection can reduce the postoperative pain, improve the patient comfort and shorten the retention time of the drainage tube.更多还原