摘要
目的探讨纤维支气管镜引导联合B超精准微创气管切开术在困难气管切开患者中的应用。方法回顾性选取2019年1月至2021年1月吉安市中心人民医院重症医学科的60例困难气管切开患者作为研究对象,按照气管切开术方法分为观察组和对照组,每组30例。观察组行纤维支气管镜引导联合B超精准微创气管切开术,对照组行常规经皮微创气管切开术,统计分析两组患者的手术相关指标、术中并发症发生情况、术后并发症发生情况。结果观察组患者的手术时间、切口愈合时间均短于对照组,切口长度短于对照组,术中出血量少于对照组,差异有统计学意义(P<0.05)。观察组患者的术中并发症发生率为3.33%(1/30),低于对照组的26.67%(8/30),差异有统计学意义(P<0.05)。观察组患者的术后并发症发生率为3.33%(1/30),低于对照组的33.33%(10/30),差异有统计学意义(P<0.05)。结论对于困难气管切开患者,应用纤维支气管镜引导联合B超精准微创气管切开术的效果较常规经皮微创气管切开术好。
Objective To investigate the application of fiberoptic bronchoscopy-guided combined with B-ultrasound precise minimally invasive tracheotomy in patients with difficult tracheotomy.Methods A total of 60 patients with difficult tracheotomy in Department of Critical Care Medicine of Ji'an Central People's Hospital from January 2019 to January 2021 were retrospectively selected as research objects.According to the tracheotomy method,they were divided into the observation group and the control group,with 30 cases in each group.The observation group underwent fiberoptic bronchoscopy-guided combined with B-ultrasound precise minimally invasive tracheotomy,while the control group underwent routine percutaneous minimally invasive tracheotomy.Operation-related indexes,intraoperative and postoperative complications were statistically analyzed in the two groups.Results The operation time and the incision healing time of patients in the observation group were shorter than those in the control group,the incision length in the observation group was shorter than that in the control group,and the amount of intraoperative bleeding in the observation group was less than that in the control group,and the differences were statistically significant(P<0.05).The incidence of intraoperative complications in the observation group was 3.33%(1/30),which was lower than 26.67%(8/30)in the control group,the difference was statistically significant(P<0.05).The incidence of postoperative complications in the observation group was 3.33%(1/30),which was lower than 33.33%(10/30)in the control group,the difference was statistically significant(P<0.05).Conclusion For patients with difficult tracheotomy,the effect of fiberoptic bronchoscope-guided combined with B-ultrasound precision minimally invasive tracheotomy is better than that of routine percutaneous minimally invasive tracheotomy.
作者
王全根
WANG Quangen(Department of Critical Care Medicine,Ji'an Central People's Hospital,Jiangxi Province,Ji'an343000,China)
出处
《中国当代医药》
CAS
2022年第31期45-47,52,共4页
China Modern Medicine
基金
江西省吉安市科技计划项目[吉市科计字【2021】8号(5-40)]。
关键词
困难气管切开
常规经皮微创气管切开术
纤维支气管镜
B超
精准微创气管切开术
Difficult tracheotomy
Routine minimally invasive percutaneous tracheotomy
Fiberoptic bronchoscope
B-ultrasound
Precision minimally invasive tracheotomy
