经皮导丝扩张钳气管切开术与经皮旋转气管切开术的临床对照研究  

Comparative Study of Percutwist Tracheotomy and GWDF Tracheotomy

作　　者：张勇[1] 张培荣[1] 张琳琳[1] 单靖华[1] 臧萍[1] 

机构地区：[1]潍坊医学院附属医院重症医学科,山东潍坊261031

出　　处：《医学综述》2010年第17期2701-2703,共3页Medical Recapitulate

摘　　要：目的探讨在重症监护室中经皮导丝扩张钳气管切开术(GWDF)与经皮旋转气管切开术(Percutwist)的临床疗效。方法在重症监护室的50例患者进行GWDF与Percutwist各25例,评价手术时间、手术难易程度、术中术后切口出血程度、术中和术后并发症发生率。结果 Percutwist手术时间(6.3±1.2)min,GWDF手术时间(5.1±0.9)min,经检验,差异有统计学意义(P<0.01);出血发生率分别为12%和24%,差异无统计学意义(P>0.05)。两种术式总的并发症发生率间差异无统计学意义(P>0.05)。结论 Percutwist比GWDF手术时间长,术中并发症发生率高,不能避免气管后壁损伤,无明显优越性。Objective To investigate the advantages of Percutwist tracheotomy（Percutwist）versus guide-wire-dilating-forceps tracheotomy（GWDF）in critically ill patients.Methods Fifty critical patients received Percutwist and GWDF tracheotomy were reviewed to compare the operating time,technical difficulty,intraoperative and postoperative hemorrhage,and complications.Results Operating time were（6.3 ± 1.2）min for Percutwist and（5.1 ± 0.9）min for GWDF（P0.01）,bleeding rate was 12% for Percutwist and 24% for GWDF（P0.05）.Postoperative complications did not differ between Percutwist group and GWDF group（P0.05）.In Percutwist group,posterior tracheal injuries occurred in two patients.Conclusion Operating time of Percutwist tracheotomy was longer than GWDF tracheotomy and the complication rate of Percutwist was higher with unavoidable tracheal injury.Percutwist tracheotomy showed no superiority to GWDF tracheotomy.

关 键 词：经皮旋转气管切开术 经皮导丝扩张钳气管切开术 并发症 

分 类 号：R655[医药卫生—外科学]