支气管镜代替内科胸腔镜检查中气管切开导管的应用  

Application of tracheotomy catheter in bronchoscopy instead of medical thoracoscopy

作　　者：谢建丰 许元 刘卫庭 李再清 石媛娟 Xie Jianfeng;Xu Yuan;Liu Weiting;Li Zaiqing;Shiyuanjuan(Department of Respiratory and Critical Care Medicine,Shaoyang Central Hospital,Shaoyang,Hunan 422000,China)

机构地区：[1]邵阳市中心医院呼吸与危重症医学科,湖南邵阳422000

出　　处：《医药前沿》2020年第36期45-47,共3页Journal of Frontiers of Medicine

基　　金：湖南省科技计划项目资助(编号2017SK51407)。

摘　　要：目的:探讨电子支气管镜代替内科胸腔镜检查中使用气管切开导管作为胸壁导管的可行性。方法:纳入邵阳市中心医院呼吸与危重症医学科2017年10月—2020年7月不明原因中量以上胸腔积液患者120例,采用电子支气管镜代替内科胸腔镜检查,随机分为两组各60例,采用一次性气管切开导管作为胸壁导管为观察组,采用常规内科胸腔镜胸壁导管为对照组,比较两组病理确诊率、手术时间及术中心率、呼吸频率、脉搏血氧饱和度。结果:观察组病理确诊率(93.3%)高于对照组(80.0%),观察组手术时间(23.76±1.27)min比对照组手术时间(29.67±1.83)min短,差异有统计学意义(P<0.05)。两组术中心率、呼吸频率、脉搏血氧饱和度比较差异无统计学意义(P>0.05)。结论:电子支气管镜代替内科胸腔镜检查中应用气管切开导管作为胸壁导管具备可行性,能提高病理确诊率,缩短手术时间,术中生命体征平稳,值得在基层医院应用。Objective To explore the feasibility of using tracheotomy catheter as chest wall catheter in electronic bronchoscopy instead of medical thoracoscopy.Methods 120 cases of pleural effusion with unknown cause of moderate or higher were included in respiratory and Critical Medical Department of Shaoyang Central Hospital from October 2017 to July 2020,Electronic bronchoscopy instead of medical thoracoscopy,Randomly divided into two groups of 60 cases,One group used a disposable tracheotomy catheter as a chest wall catheter as an observation group,In the other group,the conventional thoracic wall catheter was used as the control group,The pathological diagnosis rate,operation time and operation center rate,respiratory frequency and pulse oxygen saturation were compared between the two groups.Results The rate of pathological diagnosis in observation group(93.3%)was higher than that in control group(80.0%),The operation time(23.76±1.27)min in the observation group was shorter than that in the control group(29.67±1.83)min,difference was statistically significant(P<0.05).Compared with the two groups,there was no significant difference in center rate,respiratory rate,pulse oxygen saturation(P>0.05).Conclusion It is feasible to use tracheotomy catheter as chest wall catheter in electronic bronchoscopy instead of thoracoscopy.It can improve the rate of pathological diagnosis,shorten the operation time,and the vital signs during operation are stable,which is worth popularizing in primary hospitals.

关 键 词：支气管镜 内科胸腔镜 气管切开导管 胸壁导管 胸腔积液 

分 类 号：R562[医药卫生—呼吸系统]