Kim Min-Su, Lim Jae Hyun, Jin Young Ju, Jang Jeong Hun, Hah J Hun
Department of Otorhinolaryngology-Head and Neck Surgery, Korea University Ansan Hospital, Gyeonggi-do, Korea.
Department of Otorhinolaryngology-Head and Neck Surgery, Seoul National University Hospital, Seoul, Korea.
Ann Otol Rhinol Laryngol. 2016 Aug;125(8):644-7. doi: 10.1177/0003489416642788. Epub 2016 Apr 11.
To evaluate the effectiveness of chemocauterization using trichloroacetic acid with or without suturing for the small tracheocutaneous fistula closure
The Seoul National University Hospital database was analyzed retrospectively for 55 patients with a small tracheocutaneous fistula measuring less than 5 × 5 mm(2). Of these, 39 patients were treated by chemocauterization only, and 16 patients were treated by chemocauterization with suturing. Demographic, perioperative data, and treatment outcomes were evaluated for all patients.
The success rate of single trial was 56.4% (31/55), and the final success rate after repeated procedures if indicated was 80.0% (44/55). There were no statistically significant differences in age, sex, cannulation period, fistula size, presence or absence of maturation suture during tracheostomy, number of procedures, and success rates. Interval between decannulation and procedure was significantly different among 2 groups.
Trichloroacetic acid chemocauterization could be a simple, noninvasive, and safe method to close small tracheocutaneous fistula.
评估使用三氯乙酸进行化学烧灼联合或不联合缝合对小型气管皮肤瘘闭合的有效性。
回顾性分析首尔国立大学医院数据库中55例小型气管皮肤瘘患者，瘘口大小小于5×5mm²。其中，39例患者仅接受化学烧灼治疗，16例患者接受化学烧灼联合缝合治疗。对所有患者的人口统计学、围手术期数据及治疗结果进行评估。
单次治疗成功率为56.4%（31/55），必要时重复治疗后的最终成功率为80.0%（44/55）。两组患者在年龄、性别、置管时间、瘘口大小、气管切开时是否有成熟缝线、治疗次数及成功率方面无统计学显著差异。两组患者拔管与治疗之间的间隔时间有显著差异。
三氯乙酸化学烧灼可能是闭合小型气管皮肤瘘的一种简单、无创且安全的方法。
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