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[目的]探讨改良性气管切开术在临床上的应用效果。[方法]选取于2008年1月～2009年6月收治于我院采用改良性气管切开术的患者46例,回顾性分析其临床疗效,并与同期行传统经皮扩张气管切开术的46例患者的临床疗效作比较。[结果]改良性气管切开术的手术时间为(5.2±3.1)min,切口大小为(1.8±0.4)cm,术中出血量为(2.9±1.2)ml,伤口愈合时间为(3.8±1.6)d,均优于对照组患者。改良性气管切开术的并发症也少于传统的气管切开术。[结论]与传统的气管切开手术相比,改良性气管切开术具有手术时间短、创伤小、恢复快等优点,且其费用也不高,值得基层医院推广应用。
[Objective] To investigate the clinical effect of modified tracheotomy. [Methods] Forty-six patients with modified tracheotomy admitted to our hospital from January 2008 to June 2009 were retrospectively analyzed, and compared with the traditional percutaneous dilational tracheotomy 46 patients were compared for clinical efficacy. [Result] The operative time of the modified tracheotomy was (5.2 ± 3.1) min, the incision size was (1.8 ± 0.4) cm, the bleeding volume was (2.9 ± 1.2) ml and the wound healing time was (3.8 ± 1.6 ) d, were better than the control group patients. There are fewer complications of modified tracheotomy than tracheotomy. [Conclusion] Compared with tracheotomy, tracheostomy has the advantages of short operation time, less trauma and faster recovery, and its cost is not high, so it is worth popularizing and applying in primary hospital.