纤维支气管镜联合硬质支气管镜在多发性支气管异物治疗中的应用价值

Application value of fiberoptic bronchoscopy combined with rigid bronchoscopy in the treatment of multiple bronchial foreign bodies

目的:探讨纤维支气管镜联合硬质支气管镜在多发性支气管异物治疗中的应用价值。方法:回顾性分析154例多发性支气管异物患儿的病历资料,根据治疗方式不同分为观察组(n=77)和对照组(n=77),观察组采用硬质支气管镜联合纤维支气管镜取出异物,对照组采用硬质支气管镜取出异物。比较两组患儿治疗过程中血氧饱和度(SpO 2)下降次数、手术时间、并发症发生率、SpO 2、呼吸频率(RR)、纵膈位置改变检出率、气管堵塞检出率与肺不张检出率。结果:观察组多发性支气管异物患儿术中SpO 2下降次数、手术时间、并发症发生率、RR均低于对照组(P<0.05);观察组多发性支气管异物患儿手术时SpO 2、纵膈位置改变检出率、气管堵塞检出率、肺不张检出率均高于对照组(P<0.05)。结论:硬质支气管镜联合纤维支气管镜方法可提高多发性支气管异物患儿的安全性及检出率。

Objective:To explore the application value of fiberoptic bronchoscope combined with rigid bronchoscope in the treatment of multiple bronchial foreign bodies.Methods:A total of 154 children with multiple bronchial foreign bodies were retrospectively analyzed,according to different treatment methods,they were divided into observation group(n=77)and control group(n=77).The observation group was treated with rigid bronchoscope combined with fiber bronchoscope,while the control group was treated with rigid bronchoscopy.The number of intraoperative blood oxygen saturation reductions,operation time,incidence of complications,SpO 2,RR,the detection rate of mediastinal position changes,tracheal obstruction detection rate and atelectasis detection rate were compared in children with multiple bronchial foreign bodies in the two groups.Results:In the observation group,the number of intraoperative blood oxygen saturation decreases,the operation time,the incidence of complications and RR were lower than those of the control group(P<0.05).The SpO 2,mediastinal position change detection rate,tracheal obstruction detection rate and atelectasis detection rate of children with multiple bronchial foreign bodies in the observation group were higher than those in the control group(P<0.05).Conclusion:Rigid bronchoscopy combined with fiber bronchoscopy can improve the safety and detection rate of children with multiple bronchial foreign bodies.