期刊文献+

末梢灌注指数在腔镜下胸交感神经切除术中的应用 被引量:6

Application of tip perfusion index in transthoracic endoscopic sympathectomy
原文传递
导出
摘要 目的通过观察胸腔镜下胸交感神经切除前后同侧上肢末梢灌注指数的变化与预后的关系,来评价末梢灌注指数作为胸交感神经成功切除术中监测的可能性。方法10例手汗症患者在半坐位、左侧双腔气管导管插管、静吸复合全麻下行腔镜下胸交感神经切除术,连续监测有创动脉压、心率、手术侧上肢末梢灌注指数和作为对照的下肢末梢灌注指数,并记录两侧胸交感神经切除前及切除后1、2、3、5、10 min的观察指标。结果在切除前后,有创动脉压、心率比较差异无统计学意义(P>0.05);术侧上肢末梢灌注指数切除后与切除前相比,在切除后1 min时差异有统计学意义(P<0.05),在2、3、5、10 min时差异有统计学意义(P<0.01);对照末梢灌注指数在切除前后差异无统计学意义。所有患者症状完全缓解或大部分缓解。结论手术侧上肢末梢灌注指数在胸交感神经成功切除后明显增高,可在术中及时评价胸交感神经的切除情况。 Objective To evaluate feasibility of intraoperative tip perfusion index (TPI) as a monitor of successful thoracic sympathectomy by observing the changes in TPI during peri - sympathectomy. Methods Ten patients with hyperhidrosis underwent bilateral endoscopic thoracic sympathectomy under general anesthesia in semi - fowler position. Hemodynamic variables, SpO2 , TPI were continuously monitored. TPI were monitored by two pulse - oximetry probes placed on operative side hand and lower limb. Data were analyzed with repeated measures analysis of variance and Bonferroni test. Results The TPI in the lower limb ,the hemodynamics, as well as SpO2 remained constant( P 〉 0.05 ). The operative side TPI had a significant difference at 1 minute after the transaction of sympathetic chain compared with before it ( P 〈 0.05 ) , and had a very significant difference at 2, 3, 5, 10 minutes after the procedure( P 〈 0.01 ). All patients responded that their symptoms were either completely resolved, or mostly resolved. Conclusion TPI increased immediately after the successful thoracic sympathectomy. It can be used as an additional indicator of successful thoracic sympathectomy.
出处 《临床医学》 CAS 2008年第2期12-13,共2页 Clinical Medicine
关键词 胸腔镜 胸交感神经切除术 末梢灌注指数 Endoscope Thoracic sympathectomy Tip perfusion index
  • 相关文献

参考文献7

  • 1罗宝蓉,王保国,罗芳,程灏.体位改变对心率和末梢灌注指数的影响[J].麻醉与监护论坛,2005,12(3):148-150. 被引量:4
  • 2Krasna M J, Demmy TL, Mckenna RJ. Thoracscopic sympathectmy: the U.S. experience[ J]. Eur J Surg Suppl, 1998,580 : 19 - 21.
  • 3Ng I, Yeo TT. Palmar hyperhidrosis:intraoperative monitoring with laser Doppler blood flow as a guide for success after endoscopic thoracic sympatheetomy [ J ]. Neurosurgery, 2003,1 : 127 - 131.
  • 4Kao MC. Video thoracoscopic sympathectomy with intraoperative monitoring of palmar skin temperature for palmar hyperhidrosis[ J]. Ann Thorac Surg JT - The Annals of thoracic surgery, 2001,5:1801 - 1802.
  • 5Kao MC. Operative monitoring of hand and axillary temperature during endoscopic supenor thoracic sympathectomy for the treatment of palmar hyperhidrosis [ J ]. Eur J Surg,2001,167 ( 3 ) :237 - 238.
  • 6楼小侃,严美娟.胸腔镜下胸交感神经切除对手掌温度的影响[J].中国微创外科杂志,2005,5(1):71-72. 被引量:3
  • 7Klodell CT, Lobato EB, Willert JL, et al. Oximetry -derived perfusion index for intraoperative identification of successful thoracic sympathectomy [ J ]. Ann Thorac Surg,2005 ,2:467 - 470.

二级参考文献4

  • 1Chen HJ, Liang CL, Lu KJ. Associated change in plantar temperature and sweating after transthoracic endoscopic T2-3 sympathectomy for palmar hyperhidrosis. Neurosurg, 2001, 95(1 Suppl):S58-S63.
  • 2Lu K, Liang CL, Cho CL. Patterns of palmar skin temperature alterations during transthoracic endoscopic T2 sympathectomy for palmar hyperhidrosis . Auton Neurosci, 2000,86:99-106.
  • 3Josephs LG, Menzoian JO. Technical considerations in endoscopic cervicothoracic sympathectomy. Arch Surg, 1996 ,131:355-359.
  • 4严志焜,朱理,倪科伟,倪旭鸣,钱文伟.经电视胸腔镜胸交感神经切除术治疗手汗症50例[J].中华外科杂志,2000,38(1):64-66. 被引量:36

共引文献5

同被引文献37

引证文献6

二级引证文献35

相关作者

内容加载中请稍等...

相关机构

内容加载中请稍等...

相关主题

内容加载中请稍等...

浏览历史

内容加载中请稍等...
;
使用帮助 返回顶部