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目的比较经皮扩张气管切开术(PDT)和传统开放式气管切开术(OT)在ICU机械通气患者中的应用价值。方法86例ICU气管切开使用机械通气的患者采取回顾性研究方法分成PDT组(45例)及OT组(41例)。对手术操作时间、围手术期并发症发生率、操作相关的病死率等方面进行比较。结果操作时间PDT组(12±4.9)min与OT组(24±6.1)min比较,P<0.01;围手术期并发症发生率PDT组2/45例,OT组12/41例(P<0.05),操作相关的病死率两组均为零。结论PDT较OT具有操作简单、快捷、并发症发生率低、在ICU机械通气患者中有广泛的应用价值。
Objective To compare the value of percutaneous dilation tracheostomy (PDT) and traditional open tracheotomy (OT) in ICU patients with mechanical ventilation. Methods Totally 86 patients with ICU were divided into two groups: PDT group (n = 45) and OT group (n = 41) by means of retrospective study. The operation time, the incidence of perioperative complications, operation-related mortality and so on were compared. Results The operative time in PDT group was (12 ± 4.9) min compared with that in OT group (24 ± 6.1) min, P <0.01. The incidence of perioperative complications was 2/45 in PDT group and 12/41 in OT group (P <0.05) ), The operational-related mortality was zero in both groups. Conclusion Compared with OT, PDT has the advantages of simple operation, quick operation and low complication rate. It is widely used in ICU patients with mechanical ventilation.