Hopkins潜窥镜与套管钳配套取气管、支气管异物112例疗效分析

目的:探讨应用Hopkins潜窥镜与套管钳配套在明视下取出气管、支气管异物的临床价值。方法:在全身麻醉或局部麻醉下,用Hopkins潜窥镜与套管钳配套取出112例气管、支气管异物。结果:112例均获成功,异物1次钳取成功率为91.07%,2次成功率为6.25%,3~5次成功率为2.68%。无窒息性异物变位所致死亡和气管、支气管壁损伤等严重手术并发症。结论:此术式可使术者在明视下或电视监视下钳夹并取出异物,突破了传统手术中盲目钳夹的局限性,提高了气管、支气管异物手术的成功率、精确性和安全性。

Hopkins rod-lens coupled with grasping forceps sheaths for extraction of 112 cases of tracheobronchial foreign bodies

Objective: To study the clinical application of Hopkins rod-lens coupled with gasping forceps sheaths in the extraction of tracheobronchial foreign bodies.Methods: A total of 112 patients with tracheobronchial foreign bodies were operated on with Hopkins rod-lens coupled with grasping forceps sheaths.High frequency jet ventilation or controlled ventilation was used,and BPs,ECGs and SaO_2 were monitored.Results: All were successfully operated on.The extraction was primarily successful in 91.07% of the cases,secondarily successful in 6.25% of the cases.No death and serious complications occurred.Conclusion: Compared with conventional bronchoscopic foreign body extraction,this new instrument and technique makes it possible for the operator to clamp and extract the foreign body under direct telescopic view or TV watching,and then it has increased the accuracy and safety of bronchoscopic extraction of tracheobronchial foreign bodies.