气管插管状态下纤维支气管镜导引经皮扩张气管造口术的临床研究

Clinical study of percutaneous dilatational tracheostomy with fiberoptic bronchoscope in patients with tracheal intubatton

目的探讨气管插管病人用纤支镜导引下经皮扩张气管造口术相对于常规经皮扩张气管造口术（PDT）的优点。方法ICU60例气管插管患者随机分为两组，即纤支镜导引组（A组，n=32），常规组（B组，n=28）。记录两组的手术时间，并发症例数，作统计分析。结果A组有更大的成功率，更少的并发症，手术时间并没有延长。结论气管插管病人以纤支镜导引行经皮扩张气管造口术相对于常规经皮扩张气管造口术有更高的安全性与实用性。

Objective To investigate the advantages of pereutaneous dilatational traeheostomy （PDT） with fiberoptie bronehoseope in patients with tracheal intubatton, compared with the routine method of PDT. Methods Sixty patients in intensive care unit with tracheal intubatton were randomly divided into two groups,group with fiberoptie bronehoseope （group A,n =28） ,and routine group（group B,n =32）. The time of operation and the amount of complications were recorded , then we made a statistical analysis Results Group A had a higher rate of success, fewer complications whereas the same operation time compared with group B. Conclusion PDT with fiberoptie bronehoseope is safer and more practicable than routine methods of PDT in patients with tracheal intubatton.