气管、支气管内特殊异物取出术的临床研究

目的探讨气管、支气管内特殊异物的手术方法,提高手术成功率。方法气管、支气管内特殊异物30例,分别应用支气管镜、气管切开及开胸手术等不同方法将异物取出。结果93.3%(28/30)异物在支气管镜下取出,其中应用反张钳取异物占33.3%(10/30),成功率为90.0%(9/10);应用鳄鱼嘴钳取异物占20.0%(6/30),成功率为83.3%(5/6);应用普通异物钳取异物占30.0%(9/30),成功率为100%(9/9);应用尖嘴钳取异物占6.7%(2/30),成功率为100%(2/2);应用成人食管镜钳取异物占10.0%(3/30),成功率为100%(3/3);支气管镜下未取出病例分别经气管切开及开胸手术取出,成功率为100%(2/2)。结论只有根据异物特点选择合适异物钳,并设计合理的手术方法才能将气管、支气管内特殊异物顺利取出。

Clinical study of the uncommon tracheobronchial foreign bodies

Objective To explore the operation methods of the uncommon tracheobronchial foreign bodies in order to increase the operation success rates.Method We did 30 operations of the uncommon tracheobronchial foreign bodies with the methods of bronchoscopy,tracheotomy and thoracotomy.Result 93.3%(28/30),3.3%(1/30)and 3.3%(1/30)of the foreign bodies were removed with the method of bronchoscopy,tracheotomy and thoracotomy,respectively.33.3%(10/30)of the foreign bodies were removed with inverted forceps,and the success rate was 90.0%(9/10).20.0%(6/30)of the foreign bodies were removed with alligator forceps,and the success rate was 83.3%(5/6).30.0%(9/30)of the foreign bodies were removed with common forceps,and the success rate was 100%(9/9).6.7%(2/30)of the foreign bodies were removed with sharp forceps,and the success rate was 100%(2/2).10.0%(3/30)of the foreign bodies were removed with adult esophagoscope forceps,and the success rate was 100%(3/3).6.7%(2/30)of the foreign bodies were removed with the methods of tracheotomy or thoracotomy,and the success rate was 100%(2/2).Conclusion The uncommon tracheobronchial foreign bodies can be removed successfully by choosing appropriate forceps on the basis of the characteristics of foreign bodies and designing reasonable operation methods.