Application value of ultrasound combined with fiberoptic bronchoscopy in percutaneous dilatation tracheotomy
Objective To analyze the application value ultrasound combined with fiberoptic bronchoscopy in percutaneous dilatation tracheotomy.Methods The clinical data of 220 patients undergoing percutaneous dilatation tracheotomy were retrospectively analyzed,and they were divided into group A(percutaneous dilatation tracheotomy,108 cases)and group B(percutaneous dilated tracheostomy under the guidance of ultrasound and fiberoptic bronchoscope,112 cases)according to the order of visit.Patients in both groups were compared in terms of perioperative indicators(operation time,intraoperative blood loss,incision length,incision healing time,success rate of one-time catheterization),perioperative complications(incision infection,posterior tracheal wall damage,subcutaneous emphysema,others),and long-term complications(hoarseness,foreign body sensation in throat).Results There was no significant difference in operation time,incision length and incision healing time between the two groups(P>0.05).The intraoperative blood loss of(6.5±2.2)ml in group B was less than(10.4±3.1)ml in group A,and the success rate of one-time catheterization of 100.00%was higher than 94.44%in group A.The difference was statistically significant(P<0.05).The incidence of perioperative complications in group B was lower than that in group A,and the difference was statistically significant(P<0.05).The incidence of long-term complications in group B was lower than that in group A,and the difference was statistically significant(P<0.05).Conclusion Percutaneous dilated tracheostomy under the guidance of ultrasound and fiberoptic bronchoscope can improve the rate of one-time catheterization,with low incidence of perioperative and long-term complications,and high safety.
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