单步经皮旋转气管切开术的临床评价

Clinical evaluation of PercuTwist

目的探讨单步经皮旋转气管切开术的优缺点。方法对2007年1月-2008年2月长海医院呼吸内科进行的单步经皮旋转气管切开术（PercuTwist组）以及同期进行的传统气管切开术（传统组）的临床资料进行回顾性比较分析。结果PercuTwist组16例,男12例,女4例;术前血小板最低值为15×10^9/L;手术时间（从局部麻醉到连接呼吸机）平均为（4.3±1.1）min;出现并发症2例次。传统组12例,男8例,女4例;术前血小板最低值为85×10^9/L;手术时间为（33.3±8.6）min;出现并发症11例次。PercuTwist组的手术时间和并发症发生率均显著低于传统组（P〈0.001和P〈0.01）。结论与传统的气管切开术比较,Percutwist具有耗时短、并发症少等优点。

Objective To compare the advantages and disadvantages of the PercuTwist technique. Methods Clinical data of patients undergoing PercuTwist and traditional tracheostomy during Jan 2007 to Feb 2008 in the department of pulmonary disease of Changhai Hospital were collected and analyzed. Results Of 16 patients with PercuTwist, 12 were males and 4 were females. The minimum platelet before operation was 15 × 10^9/L. The mean operating time （ from local anesthesia to connecting ventilator） was （4. 3 ± 1.0）min, and complications occurred in 2 cases with 2 incidences. Of the 12 patients with traditional tracheostomy, 8 were males and 4 were females. The minimum platelet before operation was 85 × 10^9/L. The mean operating time was （33.3 ±8.6）min,and complications occurred in 8 cases with 11 incidences. There were significant differences in complications and operating time between the patients with PercuTwist and the patients with traditional tracheostomy （ P 〈 0. 001 or 0. 01 ）. Conclusions Compared with the traditional surgical tracheostomy, the PercuTwist technique takes less operating time and causes fewer complications.