经皮扩张气管切开术在口腔颌面外科麻醉中的应用  

Effect of percutaneous dilatational tracheotomy in oral and maxillofacial surgery anesthesia

作　　者：赵保建[1] 董迎春[1] 王新河[1] 李刚[1] 苏荣祥[1] 

机构地区：[1]南京大学医学院附属口腔医院南京市口腔医院麻醉科,210008

出　　处：《临床麻醉学杂志》2016年第4期369-371,共3页Journal of Clinical Anesthesiology

基　　金：南京市卫生局医学科技发展项目(YKK11040)

摘　　要：目的探讨术前经皮扩张气管切开术(percutaneous dilatational tracheotomy,PDT)在口腔颌面外科手术麻醉中的临床应用价值,并与同期传统外科气管切开术(surgical tracheotomy,ST)进行比较。方法收集2013年5月至2015年5月,在我院口腔颌面外科行肿瘤根治伴皮瓣转移修复并且做气管切开术的124例患者资料,包括患者的一般资料、麻醉用药、气管切开时的生命体征、手术时间、出血量、并发症发生情况等。结果 124例患者中41例行PDT(P组),83例行ST(S组),两组患者一般资料差异无统计学意义。P组切口长度和手术时间均明显短于S组(P<0.05),术中出血量明显少于S组(P<0.05)。两组并发症发生率差异无统计学意义。结论与ST相比,PDT具有更多优点,更加适合于口腔颌面外科手术的气道管理。Objective To investigate the effect of preoperative percutaneous dilatational tracheotomy（PDT）in oral and maxillofacial surgery anesthesia versus traditional surgical tracheotomy（ST）.Methods General data,vital signs,operation time,anesthetics,the amount of bleeding and complications during the procedure were analyzed after reviewing the clinical data of 124 cases undergoing radical correction of oral and maxillofacial tumor plus flap transferring and repairing and tracheotomy during May 2013 to May 2015.Results A total of 124 cases were divided into two groups：PDT group（group P,n=41）and ST group（group S,n=83）.There was no significant difference of general data between the two groups.The incision length and operation time were significantly shorter and the amount of bleeding was remarkably lower in group P than those in group S（P〈0.05）,while the incidence of complications was not significantly different between the two groups.ConclusionPDT has more advantages over traditional ST and is a better airway approach in oral and maxillofacial surgery.

关 键 词：经皮扩张气管切开术 并发症 口腔颌面外科 外科气管切开术 

分 类 号：R614[医药卫生—麻醉学]