Wang P, Liu Y H, Xu Q S, Zheng Z S
Otorhinolaryngology Head and Neck Surgery, First Affiliated Hospital of Medical University of Anhui, Hefei 230022, China.
Otorhinolaryngology Head and Neck Surgery, Huangshan People's Hospital, Huangshan 245000, China.
Zhonghua Er Bi Yan Hou Tou Jing Wai Ke Za Zhi. 2017 Jun 7;52(6):463-465. doi: 10.3760/cma.j.issn.1673-0860.2017.06.013.
To evaluate the efficacy of cuffed tracheostomy tube with inner cannula for the treatment of intractable aspiration after partial laryngectomy. From May 2010 to June 2015, 15 patients with intractable aspiration after partial laryngectomy of laryngeal and hypopharyngeal carcinoma were enrolled. Cuffed tracheostomy tube with inner cannula was used in the 15 patients for treatment of intractable aspiration. The patients and their family were trained to manage the cuffed tracheostomy tube with inner cannula and to eat since the 14th day after surgery. Cuff was initially inflated with 10 ml air and then deflated of 0.5 ml air every 2-3 days. Until the inflation of cuff was no longer required, the cuffed tracheostomy tube was replaced by metal tracheostomy tube. The patients' swallowing function and aspiration were evaluated 6 months after treatment. The 15 cases with intractable aspiration were treated with cuffed tracheostomy tube with inner cannula and after 2-3 months, 14 of them replaced the cuffed tracheostomy tubes with inner cannula by metal tracheostomy tubes and recovered oral eating, and tracheostomy tubes were no longer required for 12 of 14 patients in following 3-6 months, showing a total decannulation rate of 80% in the patients with refractory aspiration. It was safe and effective to treat aspiration after laryngeal and hypopharyngeal surgery with cuffed tracheostomy tube with inner cannula.
评估带内套管的气管造口术套管治疗部分喉切除术后顽固性误吸的疗效。2010年5月至2015年6月，纳入15例喉咽癌部分喉切除术后顽固性误吸患者。15例患者采用带内套管的气管造口术套管治疗顽固性误吸。自术后第14天起，对患者及其家属进行带内套管的气管造口术套管管理及进食训练。最初向套管气囊内注入10 ml空气，然后每2 - 3天放出0.5 ml空气。直至不再需要向气囊充气，将带气囊的气管造口术套管更换为金属气管造口术套管。治疗6个月后评估患者的吞咽功能和误吸情况。15例顽固性误吸患者采用带内套管的气管造口术套管治疗，2 - 3个月后，其中14例将带内套管的气管造口术套管更换为金属气管造口术套管并恢复经口进食，14例患者中有12例在接下来的3 - 6个月不再需要气管造口术套管，顽固性误吸患者的总拔管率为80%。采用带内套管的气管造口术套管治疗喉咽手术后的误吸是安全有效的。
