支气管封堵器对电视胸腹腔镜联合下食管癌手术的作用分析

Analysis on the Effect of Bronchochotomy and Laparoscopy combined with Television on Esophageal Cancer

目的分析电视胸腹腔镜联合下食管癌手术接受支气管封堵器的作用。方法病例数88例,2017年10月到2019年10月收治的,采用随机数字表法均分组别,对观察组予以支气管封堵器,对参照组予以双腔支气管导管,食管癌患者麻醉诱导后观察组实施经口插入单腔气管导管+支气管封堵器,参照组使用纤维支气管镜调整经口插入左侧双腔支气管导管的位置,观察两组患者术后喉痛、声嘶、肺萎陷、插管时间等指标。结果观察组肺萎陷时间(450±40)s、单肺通气时间(115±14)min、插管时间(148±15)s;参照组肺萎陷时间(70±5)s、单肺通气时间(130±20)min、插管时间(115±11)s;观察组1例喉痛,比例为2.27%,并发症发生率为2.27%;参照组3例肺部感染,比例为6.81%,5例喉痛,比例为11.36%,5例声嘶,比例为11.36%,并发症发生率为29.54%。两组数据比对明显,P<0.05,且观察组患者术后喉痛、声嘶、肺萎陷、插管时间等指标明显更优。结论电视胸腹腔镜联合下食管癌手术接受支气管封堵器的疗效更佳,可有效控制患者术后并发症,降低对患者气道的刺激,改善患者预后,促进患者康复,应在后续临床应用中推广。

Objective To analyze the effect of television thoracolaparoscopy combined with bronchial sealing device in esophageal cancer surgery.Methods 88 cases with the number of cases,in October 2017 to October 2019,using the random number table method divide group,bronchial occluder to observation group and the control group by double cavity bronchial catheter,patients with esophageal cancer after anesthesia induction group implementation through the mouth insert single lumen endotracheal tube+bronchial occluder,control group using fiber bronchoscope adjust inserted through the mouth on the left side of the double cavity bronchial tube position,observe two groups of patients with postoperative sore throat,hoarseness,collapsed lung and intubation time index.Results Lung collapse time(450±40)s,ventilation time(115±14)min,and intubation time(148±15)s were observed in the observation group.Lung collapse time(70±5)s,ventilation time(130±20)min,and intubation time(115±11)s were observed in the control group.In the observation group,1 patient had sore throat,with a proportion of 2.27%and a complication rate of 2.27%.In the control group,there were 3 cases of pulmonary infection(6.81%),5 cases of sore throat(11.36%),5 cases of hoarseness(11.36%),and the complication rate was 29.54%.Data comparison between the two groups was significant(P<0.05),and postoperative laryngeal pain,hoarseness,lung collapse,intubation time and other indicators were significantly better in the observation group.Conclusion Tv-thoracolaparoscopy combined with bronchial sealing device for esophageal cancer surgery is more effective,which can effectively control postoperative complications,reduce airway irritation,improve prognosis and promote rehabilitation of patients,and should be popularized in subsequent clinical application.