Zhang Chenchen, Wang Shuai, Sang Jianzhong, Wang Liang, Zhang Yamin, Sun Jin, Yin Meipan, Ma Yaozhen, Wu Gang
Department of Interventional Radiology, The First Affiliated Hospital of Zhengzhou University, No. 1, Jianshe Road, Zhengzhou, 450052, China.
Department of Otorhinolaryngology, Head and Neck Surgery, The First Affiliated Hospital of Zhengzhou University, Zhengzhou, 450052, China.
Eur Arch Otorhinolaryngol. 2022 Nov;279(11):5401-5405. doi: 10.1007/s00405-022-07456-x. Epub 2022 May 30.
Thyroid cancer, laryngeal cancer and retrosternal goiter are common diseases of head and neck, which often causes difficulty breathing and dyspnea. However, it is usually hard to use conventional methods to deal with this problem. The purpose of this study was to evaluate the safety and effectiveness of an interventional technique for difficult endotracheal intubation (DEI) caused by head and neck diseases.
We retrospectively analyzed the clinical data of 35 patients who underwent an interventional technique for difficult endotracheal intubation and evaluated the efficacy of this approach and observe postoperative pulse oxygen saturation (SpO), Hugh-Jones grade, and complications.
The procedures were successfully completed in all patients who underwent DEI. The technical and clinical success rate of the procedures was 100%. The average procedure duration was 3.2 ± 1.1 min (range 1-5 min). The patients' postoperative SpO and Hugh-Jones grade improved, and dyspnea symptoms resolved. There were no serious EI-related complications.
Interventional EI under fluoroscopy is a safe, simple, and fast method for accurate intubation and an effective method for DEI; furthermore, it allows for subsequent clinical treatment.
甲状腺癌、喉癌和胸骨后甲状腺肿是头颈部常见疾病，常导致呼吸困难。然而，使用传统方法通常难以解决这一问题。本研究的目的是评估一种介入技术用于治疗头颈部疾病所致困难气管插管（DEI）的安全性和有效性。
我们回顾性分析了35例行困难气管插管介入技术患者的临床资料，评估该方法的疗效，并观察术后脉搏血氧饱和度（SpO）、休-琼斯分级及并发症情况。
所有接受DEI的患者手术均成功完成。手术的技术成功率和临床成功率均为100%。平均手术时间为3.2±1.1分钟（范围1 - 5分钟）。患者术后SpO和休-琼斯分级改善，呼吸困难症状缓解。未出现严重的与EI相关的并发症。
透视下介入性EI是一种安全、简单、快速的精确插管方法，是治疗DEI的有效方法；此外，它还能为后续临床治疗提供条件。
