【摘要】 经皮气管切开技术是近年来发展起来的气管切开微创技术,具有操作简单、手术时间短、微创和并发症少等特点,目前在ICU几乎已取代传统的气管切开手术。然而,在一些特殊患者(如肥胖),可能存在较大的解剖变异,对经皮气管切开技术应用解剖特点进行探讨,充分利用现有的器械和技术,优化并发症防治对策,有助于临床决策中减少并发症、缩短手术时间和学习曲线。更多还原

【Abstract】 Percutaneous dilatational tracheostomy(PDT)has almost replaced conventional surgical tracheostomy in the intensive care unit(ICU).It remains a frequently performed procedure in the ICU,and is safer and cheaper than conventional surgical tracheostomy.However,there is great variability in the course of blood vessels in the pre-tracheal area.We conducted a systematic review of anatomy of PDT,and could theoretically help minimize risk of complications during PDT and perhaps reduce time taken to perform PDT.更多还原