一个回顾性研究Cricotracheostomy:指示,技术和临床结果
Kana Nanjo1, Rumi Ueha1,2, Maria A Dealino1
1Department of Otolaryngology, and Head and Neck Surgery, Faculty of Medicine, The University of Tokyo, Tokyo, Japan.
尾骨切除术 (CT) 是一种可行的气道接入方法,特别适用于具有挑战性解剖或肥胖等疾病的患者. 这项研究发现CT的并发症很小,口腔闭塞率和并发症不受单一因素的显著影响.
科学领域:
- 耳鼻喉科 耳鼻喉科 耳鼻喉科
- 手术创新 在外科创新.
- 航空航道管理的管理.
背景情况:
- 气管切除术 (CT) 提供了一种替代的手术气道接入技术.
- 存在两种主要的CT方法:切除状软骨 (CTrach) 和从第一个气管环 (CTrachT) 创建一个.
- 评估患者的因素,并发症和结果对于优化CT手术至关重要.
研究的目的:
- 在CT患者中临床评估患者背景,并发症和静脉关闭.
- 为了比较CTrach和CTrachT技术之间的临床结果.
- 确定影响静脉关闭和CT后并发症的因素.
主要方法:
- 在一个单一的学术机构进行回顾性,横截面研究.
- 对从2014年到2024年3月接受CT的个体的患者记录的审查.
- 对两种CT技术的人口统计,临床特征,并发症风险和静脉栓结局的分析.
主要成果:
- 患者的中位年龄为70岁,主要是男性 (76%),常见的症状包括低喉和肥胖.
- 16%的患者实现了口腔闭塞;早期并发症包括手术部位感染 (9%) 和皮下肺气 (2%).
- 颗粒瘤形成发生在20%的人中;CTrach组的中位数年龄更高,而CTrachT更常由专家进行. 没有任何单一因素显著影响了口腔闭塞或并发症.
结论:
- 尖骨干切除术是一种可行的通气道通道选择,术后并发症较少.
- 对于具有挑战性呼吸道解剖学,肥胖,晚年或营养状况不佳的患者来说,CT特别有益.
- 无论是CTrach还是CTrachT,都表现出相似的临床结果,涉及到静脉关闭和并发症.
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