摘要
目的:探讨在纤支镜引导下经皮扩张气管切开术在肥胖患者中应用价值。方法:将有气管切开适应证属肥胖的危重患者58例,随机分为经皮气管切开术(PDT)组30例,外科传统开放性气管切开术(OT)组28例,PDT组在纤支镜引导下行经皮扩张气管切开术。比较2组术中出血量、手术时间、切口长度、拔管后切口愈合时间、一次性成功置管率以及并发症发生情况。采用SPSS17.0软件包对数据进行处理。结果:PDT组在术中出血量、手术时间、切口长度、切口愈合时间、一次性置管率及术后并发症发生率方面明显优于OT组,差异有显著性(P<0.05)。结论:对于肥胖患者,在纤维支气管镜引导下行经皮气管切开术,手术安全可靠。
Objective： To evaluate the clinical value of percutaneous dilation tracheostomy guided by bronchscopy in obesity patients. Methods： 58 obesity patients suitable for tracheostomy were randomly divided into 2 groups： a percutaneous dilation tracheostomy（ PDT） group（ 30 cases） and an open tracheotomy（ OT） group（ 28 cases）. The PDT group underwent percutaneous dilation tracheostomy guided by bronchscopy. Bleeding,operation time,incision length,recovery time,one-time successful rate and complications of the two groups were analyzed with SPSS17. 0 software package. Results： Compared with the OT group,the PDT group showed better results in terms of bleeding,time of operation,incision length,recovery time,one-time successful rate and complications（ P〈0. 05）.Conclusion： The safety and efficiency of percutaneous dilation tracheostomy guided by bronchscopy in obesity patients make it valuable in clinical application.
出处
《淮海医药》
CAS
2016年第2期150-151,共2页
Journal of Huaihai Medicine
关键词
经皮气管切开术
肥胖
纤支镜
微创
Percutaneous dilation tracheostomy
Obesity
Bronchscopy
Minimally invasive
