外科切开联合经皮扩张气管切开应对困难气管切开手术治疗

Surgical Incision Combined with Percutaneous Dilation Tracheotomy in Difficult Tracheotomy Patients

目的:观察外科切开联合经皮扩张气管切开术在困难气管切开患者中的临床疗效。方法:采用病例-对照研究,选择2008年10月-2014年9月本院困难气管切开患者中外科切开联合经皮扩张气管切开48例(A组)及同期单纯外科切开46例(B组)为研究对象,总结外科切开联合经皮扩张气管切开的优点及应用技巧。结果:外科切开联合经皮扩张气管切开在困难气管切开患者中能缩短手术时间,减少手术出血及并发症,降低手术风险及手术难度,差异有统计学意义(P<0.05)。结论:采用外科切开联合经皮扩张气管切开应对困难气管切开具有安全、操作简单、手术时间短、并发症少等优点。

Objective：To observe the curative effect of surgical incision combined with percutaneous dilation tracheotomy in difficult tracheotomy patients.Method：Using a case-control method, 48 patients with surgical incision combined with percutaneous dilation tracheotomy and 46 patients with conventional tracheotomy were selected as the research object.They were conducted with difficult tracheotomy in our hospital from October 2008 to September 2014. The advantages and application technology of the surgical incision combined with percutaneous dilation tracheotomy were summed up.Result： Compared with conventional tracheotomy, surgical tracheotomy incision combined with percutaneous dilation tracheotomy surgery can shorten the operation time and reduce surgical risk ,the difficulty of surgery, blood loss and complications. The differences had statistical significant（P〈0.05）.Conclusion： Surgical tracheotomy incision combined with percutaneous dilation tracheotomy surgery is more effective,safe and simple,it can be performed in difficult tracheotomy patients.