实时超声波引导的皮肤扩张气管切除术和重症患者的外科气管切除术之间的比较:随机对照试验
Shin Young Kim1, Seung Won Lee1, Aerin Baek2
1Department of Otorhinolaryngology-Head and Neck Surgery, Soonchunhyang University Bucheon Hospital, Soonchunhyang University College of Medicine, Bucheon, Korea.
超声指导的皮肤通气管切除术 (US-PDT) 与手术气管切除术 (ST) 一样安全和有效,但需要更少的时间. 这一随机试验证实了US-PDT是重症患者可行的替代方案.
科学领域:
- 关键护理医学 关键护理医学
- 手术手术手术手术手术手术手术手术手术手术
- 医疗成像医学成像
背景情况:
- 穿皮扩展性气管切除术 (PDT) 是一个常见的ICU手术.
- 超声指导PDT (US-PDT) 是有前途的,但需要进一步进行比较研究.
- 之前的回顾性数据表明,美国PDT是安全有效的,程序时间更短.
研究的目的:
- 为了比较超声波引导的皮肤穿扩张气管切除术 (US-PDT) 与手术气管切除术 (ST) 的安全性和有效性.
- 提供来自随机对照试验的可靠数据,以支持US-PDT作为ST的替代品.
主要方法:
- 这是一项随机对照试验,涉及70名重症患者.
- 患者被随机分配到US-PDT (n=35) 或ST (n=35) 中.
- 收集的数据包括手术时间,并发症,ICU停留时间,通风断奶时间和死亡率.
主要成果:
- 美国PDT手术时间明显短于ST (4.0±2.2分 vs 10.1±4.6分).
- 切口长度在美国PDT中较短 (1.5±0.5厘米与1.8±0.4厘米对比).
- 没有观察到组之间的并发症,ICU停留,断奶时间或死亡率的显著差异.
结论:
- 超声导向的PDT证明了与外科气管切除术相比的安全性和有效性.
- 美国PDT提供了更短的手术时间,并可以为重症患者提供安全的替代方案.
- 这项随机试验支持在重症监护室更广泛地采用US-PDT.
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