免气管插管和传统双腔插管微创肺叶切除术的早期疗效对比

Thoracoscopic Lobectomy by Non-intubated or Intubated Anesthesia: A Comparative Analysis of Early Clinical Effects

目的对比免气管插管和传统双腔插管微创肺叶切除术的安全性和早期临床疗效。方法回顾性分析苏州大学附三院2016年6月至12月免气管插管胸腔镜下肺叶切除术30例,另选取同期行全麻双腔气管插管胸腔镜下肺叶切除术30例作为对照,比较两组患者的临床效果。结果两组患者术前临床资料差异无统计学意义,所有患者均顺利完成手术,免插管组患者术前麻醉准备时间、术后复苏时间、C-反应蛋白、拔管时间和住院时间均少于插管组(均P<0.05)。结论免气管插管的胸腔镜下肺叶切除术具有安全便捷的优点,可以减少麻醉不良反应,减轻术后疼痛,住院时间明显缩短,降低医疗费用,符合快速康复理念。

Objective To compare the safety and early clinical efficacy of thoracoscopic lobectomy by non- intubated versus traditional intubated anesthesia. Methods We retrospectively analyzed clinical data of 30 patients treated with non-intubated thoracoscopic lobectomy in the Third Affiliated Hospital of Soochow University from June to December, 2016. Meanwhile we selected 30 patients treated with thoracoscopic lobectomy by traditional intubated anesthesia as a control group. Clinical results of two groups were compared. Results There was no statistical difference in preoperative clinical data between the two groups. All patients were successfully operated. Patients in non-intubation group had shorter durations of anesthesia induction time and back to awake time, shorter duration of chest drainage and hospital stay, less C-reactive protein levels after surgery, compared with the control group（all P〈0.05）. Conclusion Non-intubated thoracoscopic lobectomy is technically feasible and safe with reduced complications of traditional anesthesia, less postoperation pain, shorter hospital stay and less hospitalization costs which fit the idea of fast recovery.