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目的探讨经皮气管切开术(PDT)治疗烧伤后上呼吸道梗阻的疗效。方法烧伤整形科2007年以来对27例患者采用经皮气管切开术预防上呼吸道梗阻,同期25例患者采用传统气管切开术(OT)治疗,通过比较两组的手术时间、术中出血量以及愈后瘢痕情况,分析评价PDT在烧伤科预防上呼吸道梗阻中的应用价值。结果 PDT组和OT组手术时间分别为(10.93±3.83)min和(44.64±9.16)min,术中出血量分别为(15.36±10.52)ml和(52.99±16.08)ml,愈后瘢痕面积分别为(1.77±0.84)cm2和(3.61±0.59)cm2,两组比较差异有统计学意义(P<0.01)。因此,与OT组相比,PDT组的手术时间明显缩短,术中出血量明显减少,愈后瘢痕长度明显缩短。结论经皮气管切开术具有操作简单、快捷、安全、微创等优点,对烧伤科预防性气管切开有较高的应用价值。
Objective To investigate the efficacy of percutaneous tracheotomy (PDT) in the treatment of post-burn upper airway obstruction. Methods Burn and Plastic Surgery Prevention of upper respiratory tract obstruction was performed in 27 patients with percutaneous tracheotomy since 2007, and 25 patients underwent tracheotomy (OT) during the same period. By comparing the operation time, blood loss As well as the prognosis of scarring, analyze and evaluate the value of PDT in the prevention of upper respiratory tract obstruction in burn department. Results The operation time of PDT group and OT group were (10.93 ± 3.83) min and (44.64 ± 9.16) min respectively, and the intraoperative blood loss were (15.36 ± 10.52) ml and (52.99 ± 16.08) ml, respectively. (1.77 ± 0.84) cm2 and (3.61 ± 0.59) cm2, respectively, with significant difference between the two groups (P <0.01). Therefore, compared with the OT group, the operation time of the PDT group was significantly shortened, the amount of bleeding was significantly reduced, the scar length was significantly shorter. Conclusion Percutaneous tracheotomy has the advantages of simple, quick, safe, minimally invasive and so on, which has a high value for the prevention of tracheotomy of burns department.