The change of airway after cervical cancer resection and its influencing factors
10.12025/j.issn.1008-6358.2017.20161135
- VernacularTitle:宫颈癌手术前后气道变化及其相关因素分析
- Author:
Wei-Lian GENG
1
;
Yu-Yan NIE
;
Shao-Qiang HUANG
Author Information
1. 复旦大学附属妇产科医院麻醉科
- Keywords:
airway change;
mallampati class;
upper-lip-bite test;
neck circumference
- From:
Chinese Journal of Clinical Medicine
2017;24(1):108-111
- CountryChina
- Language:Chinese
-
Abstract:
Objective:To analyze the reason which cause the different change of airway appearance after laparoscopic radical resection and transabdominal radical resection for cervical cancer.Methods:Patients with ASAⅠ-Ⅱ,twenty undergoing laparoscopic radical resection of cervical cancer and twenty with transabdominal radical resection of cervical cancer were enrolled.The parameters of Mallampati class,class of upper-lip-bite test,and neck circumference were measured pre-surgery, 1 h after and 24 h after surgery.The correlation between these three parameters and airway pressure or central venous pressure were analyzed.Results:The parameters of Mallampati class,class of upper-lip-bite test,and neck circumference showed no statistical significance between laparoscopic group and transabdominal group at each time.The statistical significances were found between the parameter of Mallampati class (P= 0.001)and class of upper-lip-bite test (P= 0.003)1 h after surgery and before surgery,while no parameters significantly changed between 24 h after surgery and before surgery.The parameter of neck circumference in laparoscopic treatment group statistically changed 1 h ([34.18 ± 2.50 ]cm)and 24 h ([32.98 ± 2.30]cm)after surgery than before surgery ([32.48 ± 2.58 ]cm,P<0.05 ).In transabdominal group,no statistical difference was found in the parameters of Mallampati class ,class of upper-lip-bite test and neck circumference at 1 h or 24 h after surgery.In the group of laparoscopic treatment,Mallampati class 1 h after surgery was positively related to the airway pressure at 1 h and 2 h after beginning of surgery and central venous pressure at 1 h after beginning of surgery(P<0.05). There were also positive correlation of class of upper-lip-bite test 1 h after surgery and airway pressure at 1 h,2 h and 3 h after beginning of surgery and central venous pressure at 2 h after beginning of surgery (P<0.05).Conclusions:Compared with the transabdominal radical resection,in laparoscopic radical resection,there are significant changes of airway at 1 h after surgery, which related to the airway pressure and central venous pressure at the beginning of surgery.
