经皮扩张气管切开术临床应用研究  

Clinical application of percutaneous dilated tracheostomy

作　　者：于春刚[1] 张燕[1] 岳凤枢[1] 吴凤娇[1] 

机构地区：[1]华北电网有限公司北京电力医院,北京丰台100073

出　　处：《海南医学院学报》2009年第8期915-916,919,共3页Journal of Hainan Medical University

基　　金：海南医学院科研基金资助学报项目(0020090099)~~

摘　　要：目的:研究经皮扩张气管切开术与传统气管切开术2种方法的不同特点。方法:90例气管切开患者,根据手术方式的不同分为A、B两组,A组(48例)行经皮扩张气管切开术,B组(42例)行传统气管切开术,观察并比较两组患者手术时间、切口大小、术中出血量、术后并发症及切口愈合等情况。结果:与传统气管切开术相比,经皮扩张气管切开术操作时间短,切口小,术中出血少,术后并发症少,切口愈合快,感染率低(P<0.05～0.01)。结论:经皮扩张气管切开术优于传统气管切开术。Objective： To study the characteristics of percutaneous dilated tracheostomy （PDT） and traditional tracheotomy. Methods： 90 patients, who needed tracheotomy, were divide into two groups, group A （n = 48） by PDT and group B （n = 42） by traditional tracheotomy （TT）. The operation time, incision size, bleeding volume, postoperative complications and incision healing were observed. Results： PDT was prefer to traditional tracheotomy in operation time, incision size, bleeding volume, complications, incision healing and low infection rate（P 〈 0.05 - 0.01 ）. Conclusions ： PDT is better than traditional tracheotomy.

关 键 词：经皮扩张气管切开术 传统气管切开术 临床应用 

分 类 号：R605.97[医药卫生—急诊医学] R322.33[医药卫生—外科学]