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目的:探讨和评价气管切开术新方法。方法:120例气管切开手术中,在切开气管环时形成蒂在上方,蒂宽约1.0 cm之气管纤维膜软骨瓣,向上外牵拉此瓣,用丝线固定在环状软骨前的皮肤处。结果:本组均一次快速顺利插入气管套管,无并发症,除23例原发病死亡外,其余97例均成功拔除气管套管。结论:采用“U”形气管纤维膜软骨瓣行气管切开术,可快速准确插入气管套管,保持气管前壁完整性,减少拔管困难和狭窄机率。
Objective: To explore and evaluate a new method of tracheotomy. Methods: During the tracheotomy of 120 cases, a tracheal fibular cartilage flap with a pedicle width of about 1.0 cm was formed when the tracheal ring was cut open. The flap was pulled upwards and fixed with thread on the skin before the annular cartilage. Results: In this group, the tracheal cannula was inserted quickly and smoothly without complications. Except for 23 cases of primary disease, the remaining 97 cases were successfully removed. Conclusion: Tracheotomy with “U” tracheal membrane cartilage flap can quickly and accurately insert the tracheal tube, maintain the integrity of the anterior trachea, and reduce the difficulty of extubation and the probability of stenosis.