纤支镜引导下经皮气管切开术在肥胖患者中的应用

Application of percutaneous dilation tracheostomy guided by bronchscopy in obesity patients

目的:探讨在纤支镜引导下经皮扩张气管切开术在肥胖患者中应用价值。方法:将有气管切开适应证属肥胖的危重患者58例,随机分为经皮气管切开术(PDT)组30例,外科传统开放性气管切开术(OT)组28例,PDT组在纤支镜引导下行经皮扩张气管切开术。比较2组术中出血量、手术时间、切口长度、拔管后切口愈合时间、一次性成功置管率以及并发症发生情况。采用SPSS17.0软件包对数据进行处理。结果:PDT组在术中出血量、手术时间、切口长度、切口愈合时间、一次性置管率及术后并发症发生率方面明显优于OT组,差异有显著性(P<0.05)。结论:对于肥胖患者,在纤维支气管镜引导下行经皮气管切开术,手术安全可靠。

Objective： To evaluate the clinical value of percutaneous dilation tracheostomy guided by bronchscopy in obesity patients. Methods： 58 obesity patients suitable for tracheostomy were randomly divided into 2 groups： a percutaneous dilation tracheostomy（ PDT） group（ 30 cases） and an open tracheotomy（ OT） group（ 28 cases）. The PDT group underwent percutaneous dilation tracheostomy guided by bronchscopy. Bleeding,operation time,incision length,recovery time,one-time successful rate and complications of the two groups were analyzed with SPSS17. 0 software package. Results： Compared with the OT group,the PDT group showed better results in terms of bleeding,time of operation,incision length,recovery time,one-time successful rate and complications（ P〈0. 05）.Conclusion： The safety and efficiency of percutaneous dilation tracheostomy guided by bronchscopy in obesity patients make it valuable in clinical application.