气管舌瓣造口改良气管切开术在困难气管切开患者中的应用

doi:10.3969/j.issn.2095-9400.2024.06.008

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Abstract Objective: To study the application value of modified tracheotomy in patients with difficult tracheotomy. Methods: A retrospective study was conducted on 42 patients with difficult tracheotomy who underwent tracheotomy at the First Affiliated Hospital of Wenzhou Medical University between November 2016 and December 2021. They were divided into temporary tracheotomy group (25 cases) and modified tracheoglossostomy group (17 cases) according to different methods of gas incision. The first postoperative tube replacement time, blood volume, postoperative complications, decision time and operation time were analyzed.Results: Compared with the temporary tracheotomy group, the modified tracheoglossostomy group had significant advantages in the first postoperative tube replacement time and blood flow volume (P<0.05). Compared with the temporary tracheostomy group, the modified tracheoglossostomy group significantly shortened the surgical decision time (P<0.05). There was no significant difference in operation time between the two groups (P>0.05).There was 1 case of subcutaneous emphysema complications in the modified tracheoglossostomy group, and in the temporary tracheostomy group there were 2 local infections, 3 accidental extubations and 1 balloon rupture.Conclusion: Modified tracheoglossostomy has certain advantages over temporary conventional tracheostomy in terms of postoperative complications and outcomes.

Key words： difficult tracheotomy modified tracheotomy temporary tracheostomy

Received: 26 December 2023

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	YE Fan
	FANG Xiaobi
	XIA Zhigang
	WU Cong
	LIN Renyu
	LI He

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https://xb.wmu.edu.cn/EN/10.3969/j.issn.2095-9400.2024.06.008 OR https://xb.wmu.edu.cn/EN/Y2024/V54/I6/477