单腔与双腔气管插管对胸腔镜食管癌胸部并发症的比较

摘要

ObjectiveTo compare the thoracic complications of thoracoscopic esophagogastrostomy between single lumen endotracheal intubation and double lumen endotracheal intubation.MethodsAccording to the surgical procedures 224 patients with esophageal cancer were divided into single lumen endotracheal intubation group(n=90)and double lumen endotracheal intubation group(n=134).The difierences of pulmonary infection,pneumothorax,acute respiratory distress syndrome,respiratory failure,pulmonary atelectasis,pleural effusion,arrhythmia and injury of recurrent laryngeal nerve were retrospectively analyzed.ResultsCompared with single lumen endotracheal intubation group,double lumen endotracheal intubation group has less lung infection rate(P<0.05).Generally,no statistically significant differences were observed between the two groups for incidences of pneumothorax,acute respiratory distress syndrome,respiratory failure,pulmonary atelectasis,pleural effusion,arrhythmia and injury of recurrent laryngeal nerve(P>0.05).ConclusionsThe double lumen endotracheal intubation in thoracoscopic esophagectomy has some obvious advantage associated with less pulmonary infection,and is more suitable for the middle and young surgeons in the rising learning curve.%目的：探讨胸腔镜食管癌手术中单腔气管插管与双腔插管两种插管方式对胸部并发症的影响。方法将符合研究标准的224例实施胸腔镜食管癌手术的患者按插管方式不同分为单腔组（90例）和双腔组（134例），比较其临床资料及术后胸部并发症等方面的差异。结果单腔组肺部与双腔组肺部感染发生率比较差异有统计学意义（P<0.05）；两组术后气胸、肺不张、胸腔积液、心律失常等胸部并发症的发生率比较差异无统计学意义（P>0.05）。结论在胸腔镜食管癌手术中，双腔气管插管可减少术后肺部感染的发生率，且更适合处于学习曲线上升期的中青年医师。