摘要
目的探讨改良经皮扩张气管切开术的安全性及有效性。方法回顾性比较2009年10月~2013年6月我科71例传统气管切开(传统组)与62例改良扩张钳经皮气管切开术(改良组)的临床资料,改良组在扩张钳经皮气管切开术基础上应用分层穿刺技术,比较2组手术时间、出血量、切口大小及术后并发症的发生情况。结果改良组手术操作时间(7.6±3.6)min,明显短于传统组(22.3±6.9)min(t=15.074,P=0.000);术中出血量(5.3±1.0)ml,明显少于传统组(14.5±5.3)ml(t=13.454,P=0.000);切口大小(2.6±0.5)cm,明显低于传统组(4.0±0.6)cm(t=14.495,P=0.000);改良组并发症发生率12.9%(8/62),明显低于传统组29.6%(21/71)(χ~2=5.397,P=0.020)。结论改良扩张钳经皮气管切开术能快速、微创地建立气道通道,操作相对简便、安全,降低手术并发症的发生率,但适应证较传统气管切开术窄。
Objective To discuss the clinical application of a modified Griggs percutaneous tracheostomy. Methods A retrospective analysis was performed comparing 71 cases of traditional tracheotomy(traditional group) and 62 cases of modified forceps percutaneous tracheostomy(modified group) from October 2009 to June 2013 in our hospital. In the modified group,stratified puncture technique was applied. The operation time,blood loss,incision size and postoperative complications were compared between the two groups. Results The modified group was superior to the traditional group in operation time [(7. 6 ± 3. 6) min vs.(22. 3 ±6. 9) min,t = 15. 074,P = 0. 000],blood loss [(5. 3 ± 1. 0) ml vs.(14. 5 ± 5. 3) ml,t = 13. 454,P = 0. 000],and incision size[(2. 6 ± 0. 5) cm vs.(4. 0 ± 0. 6) cm,t = 14. 495,P = 0. 000]. Complications in the modified group were less than those in the traditional group [12. 9%(8/62) vs. 29. 6%(21/71),χ2= 5. 397,P = 0. 020]. Conclusion Modified Griggs percutaneous tracheostomy is a faster and less invasive operation with less complications,however the indications of the modified technique are strict.
出处
《中国微创外科杂志》
CSCD
北大核心
2017年第11期1021-1024,共4页
Chinese Journal of Minimally Invasive Surgery
基金
国家自然科学基金(项目编号:21402004)