内镜面罩在内镜下球囊扩张先天性食管闭锁术后吻合口狭窄中的应用  

作　　者：张晓 程艳波 史长松 

机构地区：[1]郑州大学人民医院儿科,河南郑州450003

出　　处：《现代消化及介入诊疗》2018年第A01期84-85,共2页Modern Interventional Diagnosis and Treatment in Gastroenterology

摘　　要：目的对内镜下球囊扩张治疗先天性食管闭锁术后吻合口狭窄时以内窥镜面罩代替传统气管插管管理气道,观察其安全性、可行性。方法11例先天性食管闭锁术后吻合口狭窄的患儿共扩张60次,术前均进行全麻,实验组使用内窥镜面罩管理气道,对照组使用气管插管,记录两组患儿SpO2下降次数、程度、充氧呼吸的氧浓度及时间。结果实验组与对照组在保证SpO2>90%下比较,X^2检验P>0.05,差异无统计学意义。结论内窥镜面罩代替气管插管可提高食管闭锁术后吻合口再狭窄患儿内镜下治疗的安全性及操作性。Objective:The endoscope mask(EM)replaced tracheal intubation to manage airway during endoscopic balloon dilatation(EBD)in the treatment of anastomotic stenosis(ASs)after congenital esophageal atresia(EA)repair,and observed its safety and feasibility.Methods:Eleven patients with ASs after EA were dilated 60 times,they underwent general anesthesia before dilatation.The experimental group used EM to manage the airway,the control group used tracheal intubation.Record the number and extent of SpO2 decline,oxygen concentration and time of supplemental O2 in the two groups.Results:31 treatments were performed in the experimental group,SpO2<90%occurred in 4(12.90%)cases.29 treatments in the control group,and SpO2<90%in 2(6.90%)cases.The two groups were compared,P>0.05,no statistical difference.Conclusions:EM replaces tracheal intubation to manage breathing,which can improve the safety and operability of EBD for children with ASs after EA repair.

关 键 词：儿童 先天性食管狭闭锁 吻合口狭窄 内窥镜面罩 气管插管 

分 类 号：R735.1[医药卫生—肿瘤]