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目的探讨经皮旋转扩张气管切开术(Percu Twist)在呼吸内科中的临床应用价值。方法将2004年6月至2009年9月呼吸内科中70例有气管切开适应证的危重患者随机分成Percu Twist组和OT组,每组35例,Percu Twist组行经皮旋转扩张气管切开术,OT组采用传统的开放性气管切开术。结束后对两组患者的观察指标进行比较,观察两组手术时间、术中出血量、颈部瘢痕大小、切口溢痰情况、切口感染情况、气管切口的愈合时间和安全性等差异指标。结果 Percu Twist组在手术时间、术中出血量、颈部瘢痕大小、切口溢痰情况、切口感染情况、气管切口的愈合时间和安全性等方面明显优于OT组,两者比较差异具有统计学意义(P<0.01)。结论经皮旋转扩张气管切开术具有微创、安全、快捷等特点,是一种在临床上值得推广的方法。
Objective To investigate the clinical value of Percu Twist in respiratory medicine. Methods Seventy patients with tracheotomy indications from June 2004 to September 2009 were randomly divided into Percu Twist group and OT group, 35 cases in each group. Percu Twist group was treated by Percutaneous Trans-dilation Tracheotomy , OT group using the traditional open tracheotomy. After the end of the two groups of patients were compared to observe the indicators were observed in two groups operation time, blood loss, neck scar size, incision overflow sputum incision infection, tracheal incision healing time and safety indicators. Results The Percu Twist group was significantly better than the OT group in terms of operation time, intraoperative blood loss, neck scar size, incisional overflow sputum incision infection, tracheal incision healing time and safety, the difference was statistically significant Significance (P <0.01). Conclusion Percutaneous rotation and expansion of tracheostomy has the characteristics of minimally invasive, safe and quick. It is a method worthy of promotion in clinic.