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目的 :探讨气管切开的术式 ,以减少术后并发症。方法 :回顾性总结分析自 1990年 9月以来 ,在气管切开术中采用倒U形气管粘膜软骨瓣及在全喉切除术中用U形气管粘膜软骨瓣的经验。结果 :在应用此法 112例中 ,无严重并发症发生 ,尤其未发生喉气管狭窄。在全喉切除术中应用U形气管粘膜软骨瓣的 14例 ,术后全部拔除气管导管 ,无须终生带管。结论 :倒U形及U形气管粘膜软骨瓣制作简单 ,能有效地预防喉气管狭窄等严重并发症 ,值得我们在临床中推广使用
Objective: To explore the tracheotomy operation to reduce postoperative complications. METHODS: Retrospective analysis of the use of inverted U-shaped tracheal cartilage flaps during tracheotomy and the use of U-shaped tracheal mucosa cartilage flaps during total laryngectomy was retrospectively analyzed. RESULTS: No severe complications occurred in 112 cases of this method, especially laryngotracheal stenosis. Fourteen patients with U-shaped tracheal mucosal cartilage flaps were used for total laryngectomy. All tracheal catheters were removed after surgery. Conclusion: The inverted U-shaped and U-shaped tracheal cartilage flaps are simple to produce and can effectively prevent severe complications such as laryngeal tracheal stenosis. It is worth our promotion in clinical practice.