摘要
目的探讨全身麻醉(静脉麻醉联合喉罩)下行超声支气管镜引导经支气管透壁针吸活检术(EBUS-TBNA)的应用价值。方法纳入2015年6月-2016年10月在该院呼吸内镜中心进行的103例EBUS-TBNA的患者,随机分为局麻组和全麻组,全麻组以静脉麻醉联合喉罩进行麻醉,局麻组以常规丁卡因局部麻醉,回顾性分析两组患者每例平均穿刺针数、诊断率、操作时间、并发症及舒适度方面的差异。结果全麻组平均每例穿刺针数5.6针,局麻组3.1针;全麻组诊断率94.12%,局麻组诊断率78.85%,两组诊断率差异有统计学意义(χ~2=5.11,P=0.024);全麻组平均操作时间(14.61±1.52)min,局麻组平均操作时间(32.52±4.14)min,两组比较差异有统计学意义(t=29.01,P=0.000);全麻组术中出血人数及术中呛咳人数均低于局麻组(χ~2=4.31、103.00,P=0.038、0.000)。结论全麻下进行EBUS-TBNA诊断率高,操作时间短,无痛、舒适度高且操作风险降低,值得临床推广。
Objective To explore the application of transbronchial needle aspiration biopsy （EBUS-TBNA） combined with ultrasound bronchoscopy under the general anesthesia （intravenous anesthesia combined with laryngeal mask）. Methods 103 patients with EBUS-TBNA from June 2015 to October 2016 were randomly divided into local anesthesia group and general anesthesia group. The anesthesia group was anesthetized with intravenous anesthesia combined with laryngeal mask, local anesthesia group with conventional tetracaine local anesthesia. The differences in the average number of puncture needles, the diagnosis rate, the operation time, the complications and the comfort of each group were analyzed retrospectively. Results The average number of puncture needle in each group was 5.6 times, and the local anesthesia group was 3.1 times. The diagnosis rate of general anesthesia group was 94.12% and local anesthesia group was 78.85%. There was significant difference between the two groups （χ2 = 5.11, P = 0.024）. The average operation time in the general anesthesia group was （14.61 ±1.52）, the local anesthesia group was （32.52 ±4.14）, they had significant difference （t = 29.01, P = 0.000）. The number of patients in bleeding and cough of the general anesthesia group were lower than those in the local anesthesia group （χ2= 4.31, 103.00, P = 0.038, 0.000, respectively）. Conclusions EBUS-TBNA under general anesthesia has high diagnostic rate, short operating time, painlessness, high comfort and reduce operational risk, worthy of promoting clinical application.
出处
《中国内镜杂志》
北大核心
2017年第9期1-5,共5页
China Journal of Endoscopy
基金
国家公益性行业科研专项(No:201402024)
关键词
全身麻醉
超声支气管镜引导下针吸活检术
无痛
诊断率
操作风险
general anesthesia
ultrasound bronchoscopy guided needle aspiration biopsy
painless
diagnosis rate
operational risk
