硬质支气管镜和软式支气管镜在儿童支气管异物中的应用比较

Comparison of the application of rigid bronchoscope and soft bronchoscope in children's bronchial foreign bodies

目的:比较硬质支气管镜和软式支气管镜在儿童支气管异物取出中的应用效果和安全性。方法:选取2019年9月至2021年9月重庆医科大学附属儿童医院收治的240例支气管异物的儿童作为研究对象,按照术中采用的支气管镜类型分为硬质支气管镜组(140例)和软式支气管镜组(100例),比较一次性异物取出成功率、手术时间、术中氧饱和度、麻醉方式、麻醉时间、住院时间及不良反应。结果:软式支气管镜治疗儿童支气管异物的麻醉时间较硬质支气管镜短,术中氧饱和度更高,但手术时间更长,差异均具有统计学意义(P<0.05);2组患儿一次性异物取出成功率、麻醉方式、住院时间、总体不良反应无统计学差异(P>0.05)。结论:硬质支气管镜和软式支气管镜均能有效治疗儿童支气管异物,两者各有优缺点,其有效性和安全性有待进一步探究,且应根据医院的具体情况选择手术方式。

Objective:To compare the effectiveness and safety of rigid and soft bronchoscope in the treatment of bronchial foreign bodies in children.Methods:A total of 240 children with bronchial foreign bodies were admitted to the Children's Hospital of Chongqing Medical University from September 2019 to September 2021.They were divided into rigid bronchoscope group(140 cases)and soft bronchoscope group(100 cases),and the success rate,operation time,oxygen saturation during operation,anesthesia methods,anesthesia time,hospitalization time and adverse reactions were compared.Results:Compared with rigid bronchoscopy,soft bronchoscopy had a shorter anesthesia time,higher oxygen saturation,but longer operation time(P<0.05).There was no significant difference in the success rate,anesthesia methods,hospitalization time and total adverse reactions(P>0.05).Conclusion:Both rigid and soft bronchoscope can effectively remove bronchial foreign bodies in children,and both have their own advantages and disadvantages.The effectiveness and safety need to be further explored.