通过Grigg技术在儿童身上进行皮革气管切除术:年龄和体型是否重要?
Sumeyye Sozduyar1, Ergun Ergun1, Pari Khalilova1
1Department of Pediatric Surgery, Ankara University Faculty of Medicine, Ankara, Turkey.
The Laryngoscope
|August 12, 2024
概括
使用格里格斯技术的穿皮气管切除术 (PT) 在婴儿和儿童中是安全的和可行的. 虽然有效,但较年轻的婴儿 (<6个月) 面临更高的风险 气管切除部位狭窄,需要仔细监测.
科学领域:
- 儿科手术 儿科手术
- 临界护理医学 临界护理医学
- 耳鼻喉科 耳鼻喉科 耳鼻喉科
背景情况:
- 穿皮气管切除术 (PT) 很少在儿科患者群体中进行,特别是在婴儿中.
- 评估儿童PT的安全性和有效性对于改善呼吸道管理至关重要.
研究的目的:
- 用Griggs技术在儿科患者中评估皮肤通道气管切除术 (PT) 的并发症和结果.
- 根据患者的年龄和体型,分析PT结果.
主要方法:
- 一项对110名通过Griggs技术 (2012-2020) 进行PT的儿科重症监护室 (PICU) 患者的回顾性研究.
- 为了进行比较分析,患者被分为六个年龄组.
- 收集的数据包括人口统计数据,原发性疾病,手术前输管时间,手术后的PICU和住院时间,并发症和脱结局.
主要成果:
- 没有报告任何手术内并发症.
- 气管切除部位狭窄发生在6个月以下的婴儿 (第一组) 的频率明显高于老年人群 (p=0.032).
- 颗粒瘤形成和皮肤炎发病率在所有年龄组中都是相似的.
结论:
- 透皮气管切除术 (PT) 是儿童患者,包括幼儿的安全和可行的呼吸道管理选择.
- 与标准气管管切除相比,PT的意外断管风险较低,与标准气管切除相比.
- 建议对6个月以下的婴儿进行密切监测,以检测气管切除部位狭窄,特别是在第一次气管切除部位更换期间.
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