支气管封堵器用于胸腹腔镜食管癌根治术单肺通气的临床研究

Application of endobronchial blocker in thoracoscopic-laparoscopic resection for patients with esophageal cancer

将行胸腹腔镜食管癌根治术的60例患者，分为支气管封堵器组和双腔支气管导管组，观察支气管封堵器用于胸腹腔镜食管癌根治术单肺通气的效果及可行性。结果显示，支气管封堵器组插管时间短[（27．4±8．6）与（37．2±10．3）s]，声嘶（1与9例）、咽喉痛（5与14例）发生率低，但术中移位率稍高[4与0例）]（均P〈0．05），两组定位时间[支气管封堵器组（115．6±25．2），双腔支气管导管组（112．2±27．2）S]及肺萎缩情况[1／2／3级分别为29／I／0和26／4／0例]差异无统计学意义（P〉0．05）。提示，支气管封堵器操作简单、插管时间短、声嘶咽喉痛发生率低，术后不用更换气管导管，更适合下胸腹腔镜食管癌根治术麻醉。

Sixty patients with esophageal carcinoma undergoing thoracoseopic-laparoscopic resection were randomly divided into two groups with 30 cases in each group：endobronehial blocker was used during operation in group E and double-lumen tube（DLT） was used in group D. The results showed that compare to group D,intubation time was shorler and the incidence of postoperative hoarseness and sore throat was lower in group E [（27.4±8.6） vs. （37.2±10.3）s, 1 and9 eases,5 and 14 cases, allP〈0.05 1; while the incidence of blockage shifting was higher in group E than group D （4 cases and 0, P 〈 0. 05 ）. There were no significant differences in positioning time and effects of one lung ventilation between two groups[ （ 115.6 ± 25.2） vs. （ 112. 2 ±27.2） s, P 〉 0. 05 ]. The study indicates that application of endobronehial blocker can reduce the incidence of postoperative hoarseness and sore throat and shorten the intubation time; especially, it is easy to operate and there is no need to replace the tube after surgery.