【摘要】 目的比较无气管镜辅助下应用单步经皮旋转气管切开术(PDT)与传统外科气管切开术(ST)在临床中的应用。方法将60例患者分为PDT组和对照组(ST组),手术均在ICU内完成。比较两组手术操作时间、切口大小、出血量、气胸及皮下气肿发生率、气管食管瘘和有症状的气管狭窄、伤口感染、伤口愈合时间、术中患者生命体征值的变化情况。结果与ST相比,PDT操作更简便、时间明显缩短,并发症减少。结论在严格掌握适应证的基础上,PDT与ST相比,是操作简单、手术时间短、创伤小、并发症少,安全性高的一种微创气管切开术。更多还原

【Abstract】 Objective To compare the clinical performance of percutaneous dilational tracheostomy(PDT) without the assistance of bronchoscopy and surgical tracheostomy(ST). Methods 60 patients were divided into the PDT group and the control group (ST group) and all the operations were performed in the ICU. Differences between the PDT and ST group were investigated,including operation time,size of incision,blood loss,incidence of pneumothorax and subcutaneous emphysema,tracheal esophageal fistula and symtomatic tracheal stenosis,wound infection,healing time,and changes of vital signs in the operation. Results Compared with the control,PDT was more convenient and could significantly reduce the operation time and operative complications. Conclusion Under strict indications,percutaneous dilational tracheostomy can be widely applied in the clinic. Unlike traditional tracheostomy,it is simpler and safer with shorter operative time,less trauma,and fewer complications.更多还原