经皮穿刺气管造口术的临床应用

目的：探讨经皮穿刺气管造口术（PT）和常规气管切开术（ST）2种气管造口方法的临床效果。方法：159例患者分为2组，PT组85例，ST组74例，比较2组方法术中、术后并发症的发生率及手术操作时间和地点的不同。结果：PT、ST组手术平均操作时间分别为8．1、32min，差异具有统计学意义（P〈0．05）。PT组、ST组并发症发生率分别为15．3％、25．7%，差异尢统计学意义（P〉0．05）。PT组91．8％在ICU完成，ST组68．9％在手术室完成。结论：PT操作快捷，易于掌握，可在床边安全进行，可作为气管切开术的首选方法。

The clinical application of Percutaneous tracheostomy

Objective: Evaluation of percutaneous tracheostomy (PT) with surgical tracheostomy (ST). Methods: Eighty-five patients were performed by PT technique and 78 by ST method. The complication rates, operation time and operation location were compared. Results: PT was performed in 8. 1 min versus 32 min for ST group (P <0. 01). 91. 8 percent patient in PT group were performed at ICU while 68. 9 percent in ST group were performed in operating-room (F <0. 05). There was no procedure-related death in two groups. The very common complication in two groups was minor bleeding but the total complication rates in both groups have no significant difference. Conclusions: This study confirms that PT is not only a simpler and quiker precedure than ST but also can be performed in bedside which would eliminating the risk of patient transport.