摘要
目的探讨双肺通气联合人工气胸(TLV)对腔镜食管癌根治术患者的影响。方法回顾性分析53例分别采用单肺通气(OLV)和TLV行电视胸腔镜手术的食管癌患者的临床资料,比较2组术中情况、患者通气前(T1),通气0.5h(T2),1.0h(T3),1.5h(T4)术中血气指标和术后并发症情况。结果 2组均在腔镜下完成手术,无中转开胸或开腹病例。2组手术时间、术中出血量、肺部感染率及住院时间比较,差别无统计学意义(P>0.05)。2组T2、T3、T4时间的PaCO2明显高于T1,PaO2低于T1(P<0.05)。TLV组T2、T3、T4时间的PaO2高于OLV组,T2、T3时间的PaCO2高于OLV组,T3、T4时间的SPO2高于OLV组(P<0.05)。结论TLV适用于胸腔镜食管癌根治术,对患者呼吸生理影响较小,术后并发症较少。
Objective To explore the influence of two-lung ventilation (TLV) plus artificial pneumothorax on patients with thoracoscopic esophagectomy.Method To analyze a retrospective study of 53 patients which were divided into the one lung ventilation (OLV) group and TLV group followed by thoracoscopic esophagectomy in the same hospital.The condition during operation,arterial blood gases and complications of both groups were compared.Results All surgeries were completed without thoracotomy and laparotomy.There was no statistical significance of duration of operation,intraoperative blood loss,pulmonary infection and hospital stays between both groups (P〉0.05).The PaCO2 of T1,T2,T3 were higher than T1 which PaO2 was higher than the others.The PaO2 of T1,T2,T3 in TLV group were higher than that in control group.The PaCO2 of T2 and T3 in TLV group were superior to OLV group.PaO2 of T3 and T4 in TLV group were higher than OLV group (P〈0.05).Conclusion TLV combined artificial pneumothorax is preferred for thoracoscopic esophagectomy with less complications and respiratory system dysfunction.
出处
《福建医科大学学报》
2014年第2期128-130,共3页
Journal of Fujian Medical University
关键词
肺不张
肺换气
插管法
气管内
二氧化碳
气胸
人工
食管
食管肿瘤
胸腔镜
胸外科手术
电视辅助
atelectasis
pulmonary gas exchange
esophageal neoplasms
intubation, intratracheal
carbon dioxide
pneumothorax, artificial
thoracoscopes
thoracic surgery, video-assisted