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目的 探讨气管切开术中倒“U”形瓣的临床应用。方法 12例急诊气管切开 ,3 6例择期气管切开 ,均采用“∩”形切口切开气管壁 ,将气管软骨黏膜瓣下翻与皮肤缝合呈倒“U”形瓣。结果 48例气管切开术插管均一次成功 ,无出血、软骨损伤、皮下气肿等并发症 ,随访无气管狭窄等。结论 气管切开术中应用倒“U”形瓣不但插管、换管方便快捷 ,并发症少 ,还可预防脱管导致的窒息等
Objective To investigate the clinical application of inverted U-shaped flap in tracheotomy. Methods 12 cases of emergency tracheotomy and 36 cases of elective tracheotomy were treated with “∩” -shaped incision of the tracheal wall, the tracheal cartilage mucosa flap down and skin suture was inverted “U” -shaped flap. Results All the 48 tracheotomy tubes were successfully inserted without any hemorrhage, cartilage injury and subcutaneous emphysema, followed by tracheal stenosis. Conclusion Tracheostomy inverted “U” -shaped flap not only intubation, quick and easy tube change, fewer complications, but also to prevent detuning caused by asphyxia