电视监视下潜窥镜与带钳潜窥镜套管配套取气管支气管异物初步报告  

Use of Hopkins-Rod lens coupled with grasping forceps sheaths for extraction of tracheobronchial foreign bodies

作　　者：邱书奇[1] 马玲国[1] 李同丽[1] 王东[1] 兰亚容 王林娥[1] 张淑兰[1] 

机构地区：[1]太原山西省人民医院耳鼻咽喉科,030012

出　　处：《中华耳鼻咽喉科杂志》2000年第1期48-50,共3页Chinese Journal of Otorhinolaryngology

摘　　要：目的　探讨电视监视下Hopkins潜窥镜与带钳潜窥镜套管配套在气管、支气管异物取出术中的临床应用价值。方法　在全身麻醉或局部麻醉下 ,对 6 2例气管、支气管异物患者采用电视监视下Hopkins潜窥镜与带钳潜窥镜套管配套行气管、支气管异物取出术。结果　 6 2例均获成功 ,异物1次钳取成功率为 90 % ,2次成功率为 7% ,3～ 5次成功率为 3%。无窒息性异物变位所致死亡和气管、支气管壁损伤等严重手术并发症。结论　与普通支气管镜检查异物取出术相比 ,该手术方法具有可在明视下钳夹并取出异物 ,便于保存资料和教学等优点 ,提高了气管、支气管异物手术的成功率、精确性和安全性。Objective To study the clinical application of Hopkins rod lens coupled with gasping forceps sheaths in the extraction of tracheobronchial foreign bodies. Methods Sixty two patients with tracheobronchial foreign bodies were operated on with Hopkins rod lens coupled with grasping forceps sheaths under direct telescopic view or TV watching High frequency jet ventilation was used and BPs ECGs SaO 2 were monitored in all cases Results Sixty two patients were all successfully operated on The extraction was primarily successful in 90% of the cases; and secondarily successful in 7% of the cases. No death and serious complication occurred. Conclusion Compared with conventional bronchoscopic foreign body extraction, this new instrument and technique make it possible for the operator to clamp and extract foreign body under direct telescopic view or TV watching It has increased the accuracy and safety of bronchoscopic extraction of tracheobronchial foreign bodies

关 键 词：Hopkins潜窥镜 支管异物 支气管异物 电视监视 

分 类 号：R768.13[医药卫生—耳鼻咽喉科]