Crosher R, Baldie C, Mitchell R
Department of Maxillofacial Surgery, City Hospital, Edinburgh, Scotland.
Br J Oral Maxillofac Surg. 1997 Feb;35(1):43-5. doi: 10.1016/s0266-4356(97)90008-5.
This retrospective study was designed to define the role of tracheostomy in the operative treatment of patients with cancers of the head and neck. The subjects were 51 patients who underwent neck dissection with resection of the tumour and repair during the period January 1992-December 1994, out of a total of 109 patients who were treated for cancers of the head and neck during that time. Three patients required tracheostomies, two of which were done preoperatively, and one immediately postoperatively for respiratory distress. There were no operative deaths. Morbidity included wound infection (n = 2), chest infection caused by Haemophilus influenzae (n = 1), transient fever associated with blood transfusion (n = 5), and transient fever of no obvious cause (n = 3). Median hospital stay was 10 days (range 4-38). Patients undergoing operations for cancers of the head and neck do not require routine tracheostomy. Further research on how to select patients who will need tracheostomy is necessary and is being done.
本回顾性研究旨在明确气管切开术在头颈部癌症患者手术治疗中的作用。研究对象为1992年1月至1994年12月期间接受颈部清扫术并切除肿瘤及进行修复的51例患者，这51例患者来自同期接受头颈部癌症治疗的109例患者。3例患者需要进行气管切开术，其中2例在术前进行，1例在术后因呼吸窘迫立即进行。无手术死亡病例。并发症包括伤口感染（2例）、流感嗜血杆菌引起的肺部感染（1例）、输血相关的短暂发热（5例）以及原因不明的短暂发热（3例）。中位住院时间为10天（范围4 - 38天）。接受头颈部癌症手术的患者不需要常规气管切开术。有必要进一步研究如何选择需要气管切开术的患者，目前正在开展相关研究。
