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目的:比较支气管封堵器与双腔支气管导管在胸腹腔镜食管癌根治术中单肺通气的效果,及对术后不良反应的发生率。方法:选取择期行胸腹腔镜下食管癌根治术的患者60例,随机分为支气管封堵器组(A组)30例和双腔支气管导管组(B组)30例。记录插管时间、导管套囊移位的发生情况;术毕行肺萎陷评分;记录气管拔管后2d内声音嘶哑、咽喉疼痛的发生情况。结果:与B组相比较,A组插管时间更短(P<0.05);A组患者气管拔管后2d内声音嘶哑、咽喉疼痛的发生率低于B组(P<0.05)。两组单次插管成功率、肺萎陷时间、导管移位的发生情况、术毕行肺萎陷评分比较,差异无统计学意义(P>0.05)。结论:支气管封堵器用于胸腹腔镜食管癌根治术病人单肺通气的效果与双腔支气管导管相似,且插管过程较短,对咽喉部位损伤较小,建议首选支气管封堵器。
OBJECTIVE: To compare the efficacy of bronchial occluder and double-lumen bronchial catheter in one-lung ventilation in thoracoscopic laparoscopic esophagectomy and the incidence of postoperative adverse reactions. Methods: Sixty patients undergoing selective thoracotomy and laparoscopic radical resection of esophageal cancer were randomly divided into three groups: bronchial occlusion group (group A) 30 and double lumen bronchial duct group B (group B). Record the intubation time, the incidence of catheterization of cuffs; surgery completed line of lung collapse score; recorded within 2d after tracheal hoarseness, sore throat, the occurrence of sore throat. Results: The duration of intubation was shorter in group A than in group B (P <0.05). The incidence of hoarseness and sore throat in group A was lower than that in group B within 2 days after tracheal extubation (P <0.05). There was no significant difference in the success rate of single intubation, the time of pulmonary collapse, the incidence of catheter displacement and the score of lung collapse in operation (P> 0.05). Conclusion: The bronchial occluder used in patients undergoing thoracoscopic laparoscopic esophageal radical mastectomy has the same effect of single lung ventilation as double-lumen bronchial catheters. The intubation process is shorter and the throat area is less damaged. Bronchial occluder is the preferred choice.