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"⊥"形气管切口在气管切开术中的应用

杨晶 刘卓慧 龙瑞清 高竞逾

昆明医科大学学报2018,Vol.39Issue(6):105-108,4.
昆明医科大学学报2018,Vol.39Issue(6):105-108,4.

"⊥"形气管切口在气管切开术中的应用

The Application of "⊥"Trachea Incision in Tracheotomy

杨晶 1刘卓慧 1龙瑞清 1高竞逾1

作者信息

  • 1. 昆明医科大学第一附属医院耳鼻咽喉科,云南昆明 650032
  • 折叠

摘要

Abstract

Objective The study discusses the clinical efficacy, surgical technique and new technology application of "⊥" incision in tracheotomy. Methods From March 2014 to December 2015, a total of 300 patients treated in the First Affiliated Hospital of Kunming Medical University with tracheotomy prospective were studied.The statistics of success rate of incision, balloon cuff rupture and complications of "⊥" form incision (groupA) and"I"form incision (group B) during tracheotomy.Result In group A, 144 out of 150 cases (96%) were inserted successfully for the first try,while the first incision was successful in 90/150 cases of group B (60%) (P<0.01) . Balloon cuff rupture was found in 3/150 cases (2%) in groupA and 15/150 cases (10%) in group B (P<0.05) . The postoperative complications (postoperative bleeding, subcutaneous emphysema, pneumothorax,laryngotracheal stenosis) were observed in 10/150 cases (6.7%) in groupA and 25/150 cases (16.7%) in group B (P<0.05).Conclusion The"⊥" tracheal incision is simple, safe and causes fewer complications. It is worthy of generalization and application.

关键词

气管切开术/气管切口/应用

Key words

Tracheotomy/Trachea incision/Application

分类

医药卫生

引用本文复制引用

杨晶,刘卓慧,龙瑞清,高竞逾.."⊥"形气管切口在气管切开术中的应用[J].昆明医科大学学报,2018,39(6):105-108,4.

基金项目

云南省科技厅- 昆明医科大学应用基础研究联合专项基金资助项目[2017FE468(-195)] (-195)

云南省卫生科技基金资助项目(2018NS0156) (2018NS0156)

昆明医科大学学报

OACSTPCD

1003-4706

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