可视双腔支气管导管在胸外科手术中的应用和研究进展  

Application and Research Progress of Video Double-lumen Tube in Thoracic Surgery

作　　者：沈诚[1] 梁鹏[2] 车国卫[1] Cheng SHEN;Peng LIANG;Guowei CHE(Department of Thoracic Surgery,West China Hospital,Sichuan University,Chengdu 610041,China;Department of Anesthesiology,West China Hospital,Sichuan University,Chengdu 610041,China)

机构地区：[1]四川大学华西医院胸外科,成都610041 [2]四川大学华西医院麻醉科,成都610041

出　　处：《中国肺癌杂志》2022年第8期622-626,共5页Chinese Journal of Lung Cancer

基　　金：四川省卫生健康委员会基金(No.19PJ242);成都市科技局重点研发支撑计划(No.2019-YFYF-00090-SN)资助。

摘　　要：以电视辅助胸腔镜技术为代表的微创胸外科,已逐步取代传统胸外科技术成为肺部结节包括早期肺癌等在内治疗的首要选择方式。随着双腔支气管导管在临床的应用,实现患侧肺隔离技术,不仅为胸外科微创手术的普及提供了坚实的麻醉基础,也为手术快速而平稳的实施提供了保障。然而,相较于单腔管而言,双腔支气管导管的管径更粗,管身较硬且难以塑形,给麻醉插管带来了不便;此外,由于双腔支气管导管的左、右支气管结构不同,麻醉插管过程中错位的发生率也很高。随着可视双腔支气管导管(video double-lumen tube,VDLT)在临床上逐渐使用,近年来成为胸科手术中的关注热点。本文就VDLT在胸外科手术中的应用和研究进展做一综述。The rapid development and promotion of minimally invasive thoracic surgery represented by videoassisted thoracoscopy surgery has gradually replaced traditional thoracic surgery technique as the primary choice for the treatment of pulmonary nodules,including early lung cancer.With the clinical application of double-lumen bronchial catheters,the realization of one-lung ventilation technology not only provides a solid anesthesia foundation for the popularization of minimally invasive thoracic surgery,but also provides a guarantee for the rapid and smooth implementation of the operation.However,compared with single-lumen bronchial catheters,the diameter of the double-lumen bronchial catheter is thicker,and the tube body is hard and difficult to shape,which brings inconvenience to anesthesia intubation.The bronchial structure is different,and the incidence of dislocation during anesthesia intubation is also high.With the gradual clinical use of video doublelumen tube(VDLT),it has become a hot spot in thoracic surgery in recent years.This article reviews the application and research progress of VDLT in thoracic surgery.

关 键 词：可视双腔支气管导管 胸腔镜手术 单肺通气 胸外科 

分 类 号：R734.2[医药卫生—肿瘤]