摘要
目的比较应用潜窥镜与普通支气管镜在气管、支气管异物取出术中的不同效果,提高诊疗水平,减少并发症发生。方法分析206例气管、支气管异物患者的诊断、麻醉、手术方法和疗效;对潜窥镜视频监视下与普通支气管镜取异物进行对比观察。结果采用潜窥镜异物取出术均一次性手术成功;普通支气管镜行二次手术10例,术中出现喉痉挛8例、支气管痉挛12例,术后出现纵隔气肿1例、气胸2例、皮下气肿4例、心衰2例,行气管切开5例,无异物变位性窒息,气管、支气管损伤等严重并发症。结论潜窥镜下气道异物取出术具有明视、放大等特点,避免了普通支气管镜的盲目性,提高了气道异物取出术的成功率和安全性。
Objective To improve the diagnosis and treatment of tracheobronchial foreign bodies and lower the complication rate by comparing the applications of rod-lens and conventional bronchoscopy in tracheobronchial foreign body extraction.Methods The diagnosis,anaesthesia methods,operation methods and therapeutic effect of 206 cases of foreign bodies were reviewed.Rod-lens coupled with grasping forceps sheaths tracheobronchial foreign body extraction was compared with conventional bronchoscopic foreign body extraction.Results Patients with foreigh bodies extracted by rod-lens coupled with grasping forceps were all primarily successful.10 patients with foreigh bodies extracted by a conventional bronchoscope were operated on for the second time.In bronchoscopic foreign body extraction,8 cases of laryngospasm and 12 cases of bronchiospasm were found during operation,and there was 1 case of mediastinal emphysema,2 cases of pneumothorax,4 cases of subcutaneous emphysema,2 cases of heart failure and 5 of tracheotomy after operation.No death or serious complication occurred.Conclusions Rod-lens coupled with grasping forceps sheaths for extraction of tracheobronchial foreign bodies has its advantanges of visualization and amplification,avoiding the blindness of conventional bronchoscopic foreign body extraction and making the surgery safer and more successful.
出处
《山东大学耳鼻喉眼学报》
CAS
2010年第2期59-61,共3页
Journal of Otolaryngology and Ophthalmology of Shandong University
关键词
异物
气管
支气管
内镜
Foreign bodies
Trachea
Bronchea
Endoscopy
