传统与可视技术的呼吸道异物取出术临床效果比较

Clinical effect comparison of traditional and visible methods for the removal of foreign bodies in respiratory tract

目的比较呼吸道异物的传统异物取出术与可视化技术异物取出术两种术式的临床效果。方法将2015至2016年郑州大学第一附属医院80例呼吸道异物患儿按异物取出方式分为传统异物取出术组与可视化技术异物取出术组,按异物部位分为气管异物与支气管异物。分别记录两组手术钳取时间、钳取次数、异物被推进支气管概率及二次手术率。结果气管异物的传统手术和可视手术钳取时间、钳取次数及异物被推进支气管概率比较,差异未见统计学意义(P>0.05)。支气管异物两种手术方式的取出时间、钳取次数及二次手术率比较,差异有统计学意义(P<0.05)。结论对于气管异物取出术,由于样本数少,数据不能充分反应可视手术缩短手术时间、减少钳取次数及降低异物被推进气管概率;而对于支气管异物取出术,可视化手术明显减少手术时间、减少术中钳取次数,提高手术成功率。

Objective To compare the effects of traditional foreign body removal and visual foreign body removal methods in the respiratory tract.Methods Eighty children with foreign body in respiratory tract in the First Affiliated Hospital of Zhengzhou Unirversity from 2015 to 2016 were divided into traditional foreign body removal group and visual foreign body removal group according to the way of foreign body removal.The foreign bodies were divided into tracheal foreign body and bronchial foreign body according to the location of foreign body.The time of forceps removal,the frequency of forceps removal,the probability of foreign body being pushed into the bronchus and the probability of second operation of the traditional foreign body removal group and visual foreign body removal group were recorded.Results There was no significant difference in the time of forceps removal,the number of forceps removal or the probability of foreign bodies being pushed into the bronchi between traditional and visual operations for tracheal foreign bodies(P>0.05).There were significant differences in the removal time,the number of forcep removal and the probability of second operation between the two methods(P<0.05).Conclusions For the removal of tracheal foreign body,due to the small number of samples,the data can not definitely support that visual surgery can shorten the operation time,reduce clamping numbers and the probability of pulling the foreign bodies into the bronchus.For the removal of bronchial foreign body,visual surgery can reduce the operation time,the clamp times,and improve the success rate of surgery.