Coopdech封堵支气管导管在自发性气胸手术患者的应用

Application of Coopdech tube in patients undergoing surgery for spontaneous pneumothorax under endoscope

目的观察Coopdech封堵支气管导管在自发性气胸手术患者应用效果。方法自发性气胸行胸腔镜手术的患者30例,随机均分为Coopdech封堵支气管导管组(A组)和双腔支气管导管组(B组),插管时间、定位时间、一次成功率、术中肺萎陷及手术野暴露程度、单肺通气前和单肺通气30min的PaO2、PaCO2、SpO2、气道阻力峰值(Paw)变化,评估术后声音嘶哑和咽喉痛发生情况。结果 A组插管时间及定位时间均少于B组(P<0.05),A组Paw变化明显小于B组(P<0.05),A组单肺通气30min后PaO2明显高于B组(P<0.05);B组术后声音嘶哑、咽喉疼痛、及气道损伤发生率高于A组(P<0.05)。结论 Coopdech封堵支气管导管用于自发性气胸手术患者优于双腔支气管导管。

Objective To observe the outcomes of application of Coopdech tube in patients undergoing surgery for spontaneous pneumothorax under endoscope.Methods Thirty patients undergoing endoscopic surgery for spontaneous pneumothorax were ventilated with Coopdech tube（group A,15 cases） or double-lumen tube（group B,15 cases）.The times spent on tube insertion and positioning,the success rate of intubation for one time,and atelectasis and exposure in surgery under one-lung ventilation（OLV） were recorded before and after OLV.PaO2 ,PaCO2 ,SpO2 ,peak airway pressure（Paw） were monitored and postoperative hoarseness and sore throat were followed up.ResultsThe times spent on tube insertion and positioning were significantly shorter in group A than those in group B（P〈0.05）.Change of Paw in group A was less than that in group B（P〈0.05）.PaO2 afeter OLV for 30 min was higher in group A than that in group B（P〈0.05）.The cases of postoperative hoarseness,sore throat and bronchial injure were more in group B than those in group A（P〈0.05）.Conclusion Coopdech tube technique is better than double-lumen tube in the patients undergoing surgery for spontaneous pneumothorax under endoscope.