气管切开术中倒“U”形及“U”形气管粘膜软骨瓣的应用研究  

Studies on the application of inverted U or U shaped tracheal mucochon dro flap(TMCF)in tracheotomy

作　　者：徐世翔[1] 陶象祯[1] 王荣光[2] 

机构地区：[1]武警江苏总队医院耳鼻咽喉科,扬州225003 [2]解放军总医院耳鼻咽喉科

出　　处：《武警医学院学报》2000年第3期167-168,共2页Acta Academiae Medicinae CPAPF

摘　　要：目的 :探讨气管切开的术式 ,以减少术后并发症。方法 :回顾性总结分析自 1990年 9月以来 ,在气管切开术中采用倒U形气管粘膜软骨瓣及在全喉切除术中用U形气管粘膜软骨瓣的经验。结果 :在应用此法 112例中 ,无严重并发症发生 ,尤其未发生喉气管狭窄。在全喉切除术中应用U形气管粘膜软骨瓣的 14例 ,术后全部拔除气管导管 ,无须终生带管。结论 :倒U形及U形气管粘膜软骨瓣制作简单 ,能有效地预防喉气管狭窄等严重并发症 。Objective:To explore the technique of operation in tracheotomy for minimizing post operative complications.Methods:The data of 112 cases of tracheotomy using inverted U or U shaped TMCF since Sept 1990 were analysed retrospectively.Results:No single case of serious complication and laryngotracheal stenosis (LS) was found among 112 cases operated.It was also found that among 14 cases after total larngectomy it was unnecessary to grid the tracheal tube during the rest of their life.Conclusion:The skill is effective for minmizing serious complications of tracheotomy.

关 键 词：气管切开术 气管狭窄 喉阻塞 并发症 

分 类 号：R653[医药卫生—外科学]