摘要
目的对医用高分子塑料一次性手术牵开器应用效果进行分析。方法我院2016年1月至2016年10月收治80例肝细胞性肝癌患者,均在全身麻醉下进行开腹肝叶切除手术,根据术中手术牵开器的不同将患者分为对照组和观察组,每组40例。对照组术中使用传统金属腹部牵开器;观察组使用医用高分子塑料一次性手术牵开器,比较2种牵开器的临床应用效果。结果 2组使用手术牵开器后,观察组外科医生对术野暴露和使用效果的满意度明显高于对照组;对2组患者在围手术期和术后1个月伤口疼痛情况以及术后疼痛时间、术后6个月慢性疼痛的发生率分别进行评价,2组患者平均疼痛分值比较差异有统计学意义(P<0.05)。结论应用一次性手术牵开器可提高手术医生对术野暴露的满意度;也可减轻创口组织损伤,有效缓解术后创口疼痛,缩短术后疼痛时间,降低慢性疼痛的发生率。
Objective To analyze the application effect of disposable surgery retractor which made of high polymer medical plastic. Methods From January 2016 to October 2016,80 patients of HCC who were treated with hepatectomy under general anesthesia in our hospi- tal were randomly divided into the control group and the observation group according to different retractor during surgery. The control group used the traditional abdominal retractor during the sugery. Meanwhile, the observation group used disposable surgery retractor. The application effect between the two groups were compared. Results The satisfaction rate of surgical exposure and effect in surgeon of the observation group were higher than those of the control group. The wound pain time of patients in perioperative period and 1 month after surgery and chro- nic pain incidence in postoperative 6 months between the two groups were evaluated. It turned out that the difference in average pain score was statistically significant （ P 〈 0.05 ）. Conclusion The disposable surgical retractor can improve the satisfaction rate of surgeons with better surgical exposure, and it can significantly reduce the damage of wound tissue, which effectively relieves the postoperative pain, shortens the time of postoperative pain, and reduces the incidence of chronic pain.
作者
杨英
廖丽华
何婷婷
吴荷玉
高兴莲
YANG Ying LIAO Li-hua HE Ting-ting WU He-yu GAO Xing-lian(Operating Room, Union Hospital,Tongji Medical College of Huazhong University of Science and Technology, Wuhan Hubei 430022, Chin)
出处
《局解手术学杂志》
2017年第6期458-460,共3页
Journal of Regional Anatomy and Operative Surgery
关键词
一次性手术器材
手术牵开器
医用高分子塑料
开腹手术
disposable operating equipment
surgery retractor
high polymer medical plastic
laparotomy
