单腔气管插管用于食管癌微创手术的临床效果分析  

Effect of single lumen endotracheal intubation in minimally invasive esophagectomy

作　　者：曾敏[1] 徐利强[1] 林称意[1] 张军[1] ZENG Min;XU Liqiang;LIN Chengyi;ZHANG Jun(Department of Thoracic and Cardiomacrovascular Surgery,ShiyanTaihe Hospital Affiliated to Hubei University of Medicine,Shiyan Hubei 442000,China)

机构地区：[1]湖北省十堰市太和医院胸心大血管外科,湖北十堰442000

出　　处：《安徽医药》2018年第7期1293-1295,共3页Anhui Medical and Pharmaceutical Journal

基　　金：湖北省自然科学基金项目(2011CDC051)

摘　　要：目的研究单腔气管插管在食管癌微创手术中的应用效果。方法回顾性分析2015年5月至2016年8月收治的62例行食管癌微创手术的患者,其中一组为单腔气管插管组,另一组为双腔气管插管组,比较两组的胸腔镜食管癌切除术手术情况以及术后并发症发生率。结果单腔气管插管组患者的淋巴结清扫数为(12.6±4.8)个、术后出血量为(363.5±78.5)m L、术后住院时间为(14.5±3.3)d,与双腔气管插管组患者比较均差异无统计学意义(P>0.05);而气管插管时间为(5.4±2.7)min、胸部手术时间为(1.02±0.23)h、术中引流量为(214.4±38.8)m L低于双腔气管插管组(P=0.014 0、0.024 0、0.0074);单腔气管插管组患者术后乳糜胸占3.7%、气管瘘占0%,并发症发生率明显低于双腔气管插管组患者(P=0.016 2、0.020 7)。结论单腔气管插管食管癌微创手术是一种食管癌微创手术安全且高效的术式。Objective To study the effect of Single lumen endotracheal intubation in minimally invasive esophagectomy. Method 62 patients of minimally invasive esophagectomyin our hospital were picked up from May 2015 to August 2016. They were divided into two groups,one with single lumen endotracheal intubation,the other with double lumen endotracheal intubation. The operation condition and complication thoracoscopy esophagus resection were compared between the two groups. Result There was no difference of the number of lymph node dissection（ 12. 6 ± 4. 8）,postoperative drainage volume（ 363. 5 ± 78. 5） m L and the duration of hospital stay after surgery（ 14. 5 ± 3. 3） d between the two groups. However,the tracheal intubation time（ 5. 4 ± 2. 7） min,chest operation time（ 1. 02 ± 0. 23） h,peri-operative bleeding volume（ 214. 4 ± 38. 8） m L in single lumen endotracheal intubation group were significantly lower than thandouble lumen endotracheal intubationgroup（ P = 0. 014 0、0. 024 0、0. 007 4）. Chylothoraxandtrachealfistulawere significantly lower in single lumen endotracheal intubation group thandouble lumen endotracheal intubationgroup（ P = 0. 016 2、0. 020 7）.Conclusion Single lumen endotracheal intubation is effective and safe for patient ofminimally invasive esophagectomy.

关 键 词：食管肿瘤 麻醉 全身 插管法 气管内 胸腔镜检查 食管切除术 

分 类 号：R735.1[医药卫生—肿瘤]