摘要
目的:探讨两种截石位的摆放方法对妇科腹腔镜手术术中操作的影响。方法:选取2011年1～7月在我院行妇科腹腔镜手术的患者122例,按住院号单双数分为两组,试验组61例,采取改良截石位;对照组61例,采取传统截石位。对比分析两组手术体位对妇科腹腔镜术中操作影响。结果:试验组不同体位妇科腹腔镜手术时间及术中出血量明显低于对照组(P<0.05)。试验组无1例出现术中体位重新调整,而对照组61例中有19例需要在术中重新调整体位,影响了手术医师的操作,延长了手术时间,且有2例因术中重新调整体位而导致患者肌肉损伤。结论:改良截石位既不影响术中医师的操作,又可以缩短手术时间,减少术中出血,增加手术安全性,适合所有妇科截石位手术。
Objective：To investigate two methods of arranging lithotomy position on the laparoscopic surgical procedures.Methods：122 inpatients of gynecologic laparoscopic surgery in our hospital from January to July in 2011,randomly divided into two groups according to hospital number,odd and even numbers,61 patients of experimental group： arranging modified lithotomy.61 cases of the control group： arranging e traditional lithotomy.Comparative analysis of two groups of surgical position on the impact of laparoscopic surgery operation.Results：Contrasts different posture in patients undergoing gynecological laparoscopic surgery time and blood loss significantly lower than the control group（P0.05）.All posture realignment occurred in the experimental group,61 in the case and control groups had relocated in 19 cases of need operation posture,impacted the surgical operation of doctors,surgery time was extended,and 2 cases of patients due to adjusting the position again in muscle injury.Conclusion：The modified lithotomy position had no affecting on surgeon′s skill during operation,also can shorten the operative time,less blood loss,increased surgical safety,and the modified lithotomy position for all gynecological surgery.
出处
《护理实践与研究》
2012年第10期31-32,共2页
Nursing Practice and Research
