单腔气管插管胸腔镜下微小切口全胸腺切除的研究

Small incision thymectomy under single lumen endotracheal intubation of thoracoscope

目的单腔气管插管胸腔镜下微小切口全胸腺切除与传统双腔气管插管胸腔镜下全胸腺切除的比较探讨。方法 2010年1月-2014年6月完成30例单腔气管插管胸腔镜下微小切口全胸腺切除术(A组)和30例传统双腔气管插管胸腔镜下全胸腺切除术(B组),回顾性分析。结果两组均无死亡,其中A组气管插管时间(2.67±0.72)min、手术时间(48.37±4.64)min、出血量(26.17±9.62)ml;B组气管插管时间(5.55±0.71)min、手术时间(52.10±5.68)min、出血量(33.00±7.94)ml。结论单腔气管插管胸腔镜下微小切口切除全胸腺较传统双腔气管插管胸腔镜下全胸腺切除,插管时间明显减短,且单腔气管插管较双腔气管插管有利于减少术后并发症的发生,术野暴露更加充分,减少手术时间及出血量。

Objective To investigate the difference between single lumen endotracheal intubation of thoracoscope and traditional double lumen endotracheal intubation of thoracoscope in process of thymectomy. Methods From January 2010 to June 2014, clinical data of 30 cases with thymectomy under single lumen endotracheal intubation of thoracoscope（group A） and 30 cases with thymectomy under traditional double lumen endotracheal intubation thoracoscope（group B） were analyzed. Results There were no death patients in both groups. Group A： endotracheal intubation time（2.67 ± 0.72） min, surgery time（48.37 ± 4.64） min, the bleeding（26.17 ± 9.62） ml; Group B：endotracheal intubation time（5.55 ± 0.71） min, surgery time（52.10 ± 5.68） min, the bleeding（33.00 ± 7.94） ml.Conclusion Compared with traditional double lumen endotracheal intubation under thoracoscope, the single lumen endotracheal intubation of thoracoscope showed that intubation time was significantly shorter, and reduced the occurrence of postoperative complications, the operative field was exposed more completely, reduced operation time and blood loss.