舌瓣形气管切开术

Glossal valviform tracheotomy

目的探讨舌瓣形气管切开术的应用价值。方法对350例行舌瓣形气管切开术患者资料进行总结分析。结果350例患者行舌瓣形气管切开术均顺利。318例气管切开麻醉均成功。16例术后需更换气管套管患者无并发呼吸困难。56例全喉切除、35例近或次全喉切除术后由于喉狭窄原因不能拔除气管套管外,余下259例拔除气管套管,均未发生气管狭窄。全组有15例并发皮下气肿、4例伤口出血,并发症发生率为(19/350)5.4%。结论舌瓣形气管切开术操作简单,方便气管插管麻醉,对气管及甲状腺损伤轻,可避免气管狭窄。气管套管更换方便。目的探讨舌瓣形气管切开术的应用价值。方法对350例行舌瓣形气管切开术患者资料进行总结分析。结果350例患者行舌瓣形气管切开术均顺利。318例气管切开麻醉均成功。16例术后需更换气管套管患者无并发呼吸困难。56例全喉切除、35例近或次全喉切除术后由于喉狭窄原因不能拔除气管套管外,余下259例拔除气管套管,均未发生气管狭窄。全组有15例并发皮下气肿、4例伤口出血,并发症发生率为5.4%(19/350)。结论舌瓣形气管切开术操作简单,方便气管插管麻醉,对气管及甲状腺损伤轻,可避免气管狭窄。气管套管更换方便。

OBJECTIVE To discuss the value of glos-sal valviform tracheotomy. METHODS To summarizeand analyze the data of 350 cases with glossal valvi-form tracheotomy. RESULTS 350 cases underwentglossal valviform tracheotomy and 318 cases were in-tubated through the glossal valviform tracheotomysuccessfully. 16 cases had no dyspnea after replacingthe tracheotomy tube. Except 56 cases with total la-ryngectomy and 35 cases with near or subtotal laryn-gectomy were not removed the tracheotomy tube be-cause of laryngeal stenosis, the other 259 cases wereremoved the tracheotomy tube successfully and no tra-cheal stenosis occurred. Subcutaneous emphysemaoccurred in 15 cases, hemorrhage in 4 cases. The com-plication rate was 5.4 %(19/350). CONCLUSION Theglossal valviform tracheotomy is easy makinganaesthesia, and can reduce the trauma to trachea andthyroid, avoid tracheal stenosis. Replacing the trache-otomy tube become expedient.