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气管缩透穿越技术和张力:一个生物机械的活体研究

Alex Hu¹, Nour Awad¹, Joonsue Lee¹

¹Department of Otolaryngology-Head and Neck Surgery, University of Cincinnati College of Medicine, Cincinnati, Ohio, U.S.A.

The Laryngoscope

|July 23, 2024

概括

在呼吸道重建期间最大限度地减少气管张力和拉伸对于防止解门泄漏至关重要. 在模拟的咳中,喷技术没有影响泄漏的发生.

科学领域:

胸部外科手术胸部外科手术
手术方面的创新.
生物机械工程生物机械工程

背景情况:

气管切除后可以出现解剖漏洞,特别是在术后早期的咳期间.
了解影响静脉整体的因素对于改善患者的治疗结果至关重要.

研究的目的:

为了研究接技术,气管伸展和紧张对模拟咳期间的道泄漏的影响.
提供基于证据的建议,以尽量减少气管外科手术中的泄漏风险.

主要方法:

切除的猪喉经历了使用连续或中断线进行端到端的解剖.
气管在压力系统中受到模拟咳的力量,浸入水中,并拉伸.
峰值压力,不完整的咳和泄漏被记录并使用统计模型进行分析.

主要成果:

增加的峰值气管张力和拉伸长度显著与更高的峰值压力有关.
较高的峰值张力和3厘米的拉伸增加了不完整的咳和解剖漏的可能性.
泄漏主要发生在气管后壁;接技术对泄漏发生没有显著影响.

结论:

连续或中断的接技术都不能在模拟咳期间提供优越的解剖学强度.
降低气管张力和限制伸展到3厘米对于增强解静管完整性至关重要.
建议在关闭过程中注意气管后壁,以防止泄漏.

关键词:

这是一种解剖解剖学.生物力学生物力学咳咳咳咳咳咳咳咳气管切除气管切除

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