在资源有限的环境中,在没有可视化的情况下进行地标导向的皮肤穿刺气管切除术
Oh-Hyeong Lee1, Sang-Yeon Kim1, Dong-Il Sun1
1Department of Otolaryngology-Head and Neck Surgery, Seoul St. Mary's Hospital, College of Medicine, The Catholic University of Korea, Seoul, Korea.
The Laryngoscope
|February 7, 2026
概括
在没有实时成像的情况下,具有里程碑意义的指导性皮肤通气管切除术 (PDT) 是可行的和安全的. 这种技术在经过短时间的学习后,为资源有限的环境提供了切实可行的替代方案.
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
- 航空航道管理的管理.
背景情况:
- 透皮扩展性气管切除术 (PDT) 是一种高效的重症监护程序.
- 标准的PDT通常需要支气管镜或超声波指导,限制其在资源有限的环境中使用.
研究的目的:
- 评估基准指导PDT的可行性,安全性和学习曲线.
- 当可视化工具无法使用时,评估此技术作为替代方案.
主要方法:
- 71名成年患者的回顾性分析,这些患者接受了基准指导PDT而没有可视化.
- 由经过新培训的头部外科医生进行的手术.
- 结果包括手术持续时间,并发症率和难度预测因素.
主要成果:
- 平均手术时间为7.0分钟,观察到显著的学习曲线 (p < 0.001).
- 并发症率为14.1%,主要事件有限 (1出血,2肺胸病).
- 之前的脑血管事故和增加的状体 - 状体距离预测了更长的手术时间.
结论:
- 没有可视化的地标引导PDT在短暂的学习阶段后是可行的和安全的.
- 这种技术在缺乏先进成像的环境中是一个实用的选择.
- 精心选择患者和操作员培训对于成功实施至关重要.
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