非气管插管保留自主呼吸麻醉下胸腔镜手术的应用进展

The Application Progress of Thoracoscopy under Non-Tracheal Intubation Reserved Spontaneous Respiratory Anesthesia

摘要: 随着腔镜技术的发展，胸腔镜在19世纪90年代初期已被应用于胸科疾病的诊疗，经过多年的不断发展，胸腔镜的应用在胸外科领域迅速推广，现已成为胸外科常规手术方式。传统胸腔镜手术，常规采用双腔气管插管麻醉，这种麻醉方式给胸腔镜手术提供良好的手术视野的同时也存在气道损伤、肺部感染等风险，阻碍了患者的快速康复，为了避免这些并发症的发生，达到整体微创和快速康复的效果，非气管插管保留自主呼吸麻醉逐渐应用于胸腔镜各类手术中，多位学者研究表明，在特定的病例中，非气管插管保留自主呼吸麻醉在胸腔镜治疗中是安全、可行的。

Abstract: With the development of endoscopic technology, thoracoscopy has been applied in the diagnosis and treatment of chest diseases in the early 1890s. After years of continuous development, the ap-plication of thoracoscopy has been rapidly popularized in the field of thoracic surgery, and has be-come a routine surgical method in thoracic surgery. In traditional thoracoscopic surgery, dou-ble-cavity endotracheal intubation is commonly used for anesthesia. This anesthesia provides a good surgical field for thoracoscopic surgery, but also has risks such as airway injury and lung infec-tion, which hinders the rapid recovery of patients. In order to avoid the occurrence of these compli-cations and achieve overall minimally invasive and rapid recovery, non-tracheal intubation re-served spontaneous respiratory anesthesia has been gradually applied in various thoracoscopic surgeries. Several scholars have shown that in specific cases, non-tracheal intubation reserved spontaneous respiratory anesthesia is safe and feasible in thoracoscopic treatment.