摘要
目的探讨胸腔镜下食管癌根治术中采用单腔气管插管双肺通气模式和双腔气管插管单肺通气模式的不同效果;方法 8例实施胸腔镜下食管癌根治术的患者分为试验组和对照组,试验组42例,行单腔气管插管双肺通气,利用人工气胸暴露胸腔手术视野实施手术;对照组36例,行双腔气管插管,实施胸部手术时麻醉师停止右肺通气,行左肺单肺通气;结果试验组患者胸部手术出血量为105.49±41.74ml,对照组为129.81±50.03ml,差异有统计学意义(P=-0.02);试验组术后肺炎和肺不张的发生例数分别为4例(4/42)和1例(1/42),而对照组分别为10例(10/36)和6例(6/36),两组差异有统计学意义(P<0.05;结论单腔气管插管双肺通气模式下利用人工气胸开展胸腔镜食管切除手术,安全可靠,麻醉操作便捷,手术暴露良好,可以减少术中出血和术后肺部相关并发症的发生。
Objective To study the efficacy and safety of two different lung ventilation modes applied in thoracoscopic esophagectomy;Methods A total of 78 patients with esophageal carcinoma were divided into experimental group（n=42） and control group（n=36）,The experimental group was received single lumen tracheal intubation,and artificial pneumothorax was applied during esophagectomy;while the control group was received double lumen tracheal intubation,and one-lung ventilation was applied during thoracic operation;Results The blood loss of experimental group in the thoracic phase of surgery was 105.49 ± 41.74 ml,while it was129.81 ± 50.03 ml for control group,and there was significant difference between two groups（P=0.02）;The incidence of pulmonary infection and pulmonary atelectasis in the experimental group were lower than those in the control group（4/42 vs.10/36,1/42 vs.6/36,respectively）,and there was significant difference between two groups（P〈0.05）;Conclusion The application of single lumen tracheal intubation combined with artificial pneumothorax in thoracoscopic esophagectomy was effective and practicable,it can not only decrease the operation blood loss,but also reduce the incidence of pulmonary complications.
出处
《新疆医学》
2017年第2期112-114,共3页
Xinjiang Medical Journal
基金
国家自然科学基金(81360356)
关键词
食管癌
手术
人工气胸
双肺通气
sophageal carcinoma
Surgery
Artificial Pneumothorax
Two-lung ventilation
