Chinese Journal of Modern Operative Surgery  2017, Vol. 21 Issue (2): 113-116 DOI: 10．16260/j．cnki．1009 －2188．2017．02．009 |
| Clinical Research |
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| The Application Value of Avoiding Intercostal Nerve Closure Technique in Lung Cancer Surgery |
| DING Hao，LU Ya-dong，MA Chun-ping
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| Department of Cardiothoracic Surgery，First People ＇s Hospital of Zhangjiagang(Zhangjiagang Hospital Affiliated to Suzhou University)，Zhangjiagang 215600，Jiangsu，China |
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Abstract Objective To investigate the application value of avoiding intercostal nerve closure technique in lung cancer surgery．MethodsFrom May 2014 to May 2015，94 patients who needed radical lung cancer resection were randomly divided into two groups．There were 46 patients in the control group underwent routine thoracic closure，and 48 patients in the observation group underwent avoiding intercostal nerve closure technique．The operation time，intraoperative blood loss，postoperative drainage volume and drainage time of the two groups were compared．The visual analogue scale(VAS)was used to evaluate the postoperative pain．And results of arterial blood gas were analyzed．ResultsThere was no significant difference of operation time，intraoperative bleeding volume，postoperative drainage and drainage time(P ＞ 0．05)．VAS decreased gradually in both two groups after operation(P ＜0．05)．The 1-day，3-day，post-drainage，and 1-year VAS scores of the observation group were lower than that of the control group(P ＜0．05)．PaO2of the observation group was higher than the control group 1 day after operation(P＜0．05) ，while PaCO2was significantly lower(P ＜0．05) ．The postoperative pulmonary infection rate of the observation group and the control group was 2．1%(1/48)and 6．5%(3/46)respectively，with no significant difference(P ＞0．05)．ConclusionThe thoracic closure technique avoiding intercostal nerve can effectively reduce postoperative pain，and relieve the changes of PaO2and PaCO2．
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Received: 04 September 2016
Published: 25 May 2018
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Corresponding Authors:
DING Hao
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| About author:: 丁浩，男，36岁，张家港市第一人民医院(苏州大学附属张家港医院)心胸外科主治医师。 |
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