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目的 探讨舌瓣形气管切开术应用于头颈部肿瘤外科的疗效。方法 对 57 例头颈部肿瘤患者行舌瓣形气管切开并与传统术式进行比较分析。结果 57 例患者行舌瓣形气管切开均较顺利,46 例术前气管切开麻醉插管均获成功,8 例置换气管套管无呼吸困难,5 例并发颈部皮下气肿。结论 舌瓣形气管切开术操作简单,对气管及甲状腺损伤轻,可避免气管狭窄,气管套管置换方便
Objective To investigate the effect of tongue flap tracheotomy for head and neck cancer surgery. Methods 57 cases of head and neck cancer patients underwent tongue flap tracheotomy and compared with traditional surgical methods. RESULTS: Fifty-seven patients underwent tongue flap tracheotomy. All of the 46 patients underwent tracheotomy and anesthesia for intubation successfully. Eight patients had no difficulty in breathing with replacement tracheal tube and five patients had subcutaneous neck emphysema. Conclusion The flap-shaped tracheotomy is easy to operate, and it can avoid tracheal stenosis and tracheal stenosis. Tracheostomy can be avoided, and tracheal cannula replacement is convenient.