Inozemtsev E O, Kurgansky I S, Lepekhova S A, Grigor'ev E G
Irkutsk Research Centre of Surgery and Traumatology, Irkutsk, Russia, 664003.
Irkutsk Research Centre of Surgery and Traumatology, Irkutsk, Russia, 664003; Irkutsk State Medical University, Irkutsk, Ministry of Health of the Russian Federation, Russia, 664003.
Vestn Otorinolaringol. 2018;83(3):94-97. doi: 10.17116/otorino201883394.
The present review of the literature is focused on the methods designed for the prevention of incompetent tracheorrhaphy. The main cause that dictates the necessity of strengthening the sutures is the risk of the development of the complications during the postoperative period following the surgical interventions. The incompetence of the tracheal anastomoses is known to occur in 3.6-26.3% of the patients which leads to the development of such complications as neck phlegmon, mediastinitis, and pleural empyema. The mortality rate amounts to 18.2%. The authors describe the methods employed for the prevention of incompetent tracheorrhaphy following the circular resections and suturing of the linear traumatic defects. The advantages and disadvantages of individual methods are discussed.
本文献综述聚焦于为预防气管缝合术失败而设计的方法。决定加强缝合必要性的主要原因是手术干预后术后期间出现并发症的风险。已知气管吻合口失败在3.6%至26.3%的患者中发生，这会导致颈部蜂窝织炎、纵隔炎和胸膜脓胸等并发症的发生。死亡率达18.2%。作者描述了在环形切除和缝合线性创伤性缺损后预防气管缝合术失败所采用的方法。并讨论了各方法的优缺点。
