CAJ | 학술논문

目的：研究经皮扩张气管切开术与传统开放气管切开术在重症监护病房应用效果。方法：回顾分析我院重症监护病房（ ICU）56例行气管切开患者，其中经皮扩张气管切开术（ PDT）组30例，传统开放气管切开术（ OT）组26例。对两组患者的手术切口、手术时间、术后切口感染、术后出血、皮下气肿进行比较并分析。结果：PDT组比OT组的手术切口小、手术时间短、术中出血少、术后切口感染率低、术后出血发生率低，差异均有统计学意义（P﹤0.05），皮下气肿的发生率PDT组较OT组低，但差异无统计学意义（P>0.05）。结论：经皮扩张气管切开术操作简便、快捷、手术时间短、创伤小、出血少、并发症少且轻等特点，是一种安全性、简易度和效价比优于传统开放气管切开术的微创气管切开术。
목적：연구경피확장기관절개술여전통개방기관절개술재중증감호병방응용효과。방법：회고분석아원중증감호병방（ ICU）56례행기관절개환자，기중경피확장기관절개술（ PDT）조30례，전통개방기관절개술（ OT）조26례。대량조환자적수술절구、수술시간、술후절구감염、술후출혈、피하기종진행비교병분석。결과：PDT조비OT조적수술절구소、수술시간단、술중출혈소、술후절구감염솔저、술후출혈발생솔저，차이균유통계학의의（P﹤0.05），피하기종적발생솔PDT조교OT조저，단차이무통계학의의（P>0.05）。결론：경피확장기관절개술조작간편、쾌첩、수술시간단、창상소、출혈소、병발증소차경등특점，시일충안전성、간역도화효개비우우전통개방기관절개술적미창기관절개술。
Objective:To study and analysis of percutaneous dilational tracheostomy and conventional open tracheostomy in ICU application. Methods:Retrospective analysis of hospital intensive care unit( ICU)56 routine tracheotomy patients, percutaneous dilational tracheostomy(PDT)Group of 30 patients,traditional open tracheostomy(OT)Group of 26 pa-tients. Compared surgical incision for two groups of patients,duration of surgery,postoperative wound infection,postopera-tive bleeding,subcutaneous emphysema and comparing analysis. Results:PDT group compare with OT group,the former was with smaller incisions,shorter surgery time,less intraoperative bleeding and postoperative incisional wound infection rate was low,low incidence of postoperative hemorrhage,a statistically significant difference(P﹤0. 05),PDT the inci-dence of subcutaneous emphysema group below the OT group,but the difference was not statistically significant( P >0. 05). Conclusions:Percutaneous dilational tracheostomy operation is simple,fast,with shorter duration of surgery,less traumatic and less bleeding,fewer complications and light features,so percutaneous dilational tracheostomy is a safe,sim-ple and efficient,better than the traditional open tracheostomy minimally invasive tracheotomy technology.