3种麻醉方式在老年髋部骨折手术治疗中的应用效果

目的比较3种麻醉方式在老年髋部骨折手术治疗中的应用效果。方法将60例老年髋部骨折手术患者随机分为3组,每组20例:N-B组采取腰丛+坐骨神经阻滞麻醉,G-A组采取气管插管全身麻醉,G-N组采取气管插管全身麻醉联合腰丛+坐骨神经阻滞麻醉。比较:(1) 3组手术时间、术中出血量;(2) 3组血流动力学指标;(3) 3组术后不良反应发生例数;(4) G-A组和G-N组的全身麻醉用药总量、拔管时间及拔管后躁动率;(5) 3组不同时段的VAS评分。结果 (1) 3组手术时间、术中出血量比较差异无统计学意义(P 0. 05)。(2) T4时,N-B组动脉压、心率均高于G-A组和G-N组(P 0. 05),G-A组动脉压、心率均高于G-N组(P 0. 05); T5时,N-B组动脉压、心率仍均高于G-A组和G-N组(P 0. 05)。(3) G-N组、N-B组术后不良反应总发生例数均低于G-A组(P 0. 05)。(4)全身麻醉用药总量和拔管时间G-N组均低于G-A组(P 0. 05)。(5)G-N组术后12、24 h VAS评分均低于N-B组和G-A组(P 0. 05)。结论老年髋部骨折患者手术采用气管插管全身麻醉联合腰丛+坐骨神经阻滞麻醉,术中血流动力学稳定,术后不良反应发生率低,可提供比较确切的术后镇痛,麻醉效果安全可靠。     

七氟醚与地氟醚麻醉对成人骨科患者苏醒期躁动影响的比较

目的比较七氟醚与地氟醚对成人骨科手术患者苏醒期躁动(emergence agitation, EA)的影响。方法择期实施骨科手术的患者120例,男79例,女41例,年龄18～60岁,BMI 19.2～23.8 kg/m~2,ASAⅠ或Ⅱ级。患者依据随机原则分为七氟醚组(S组)和地氟醚组(D组),每组60例。在拔管前按照改良小儿苏醒期烦躁量表(PAED)评估EA程度,术后按照数字评价量表(nmeric rating scales, NRS)对患者术后疼痛程度进行评分,并观察分析舒芬太尼总量、手术时间、麻醉时间、苏醒时间、拔管时间和术后寒战、恶心呕吐等不良反应发生情况。记录两组患者强行体动、切口裂开、出血增多、自行拔除导管等严重不良反应发生情况。结果两组患者性别、年龄、身高、体重、BMI、ASA分级和手术种类等差异无统计学意义,两组患者舒芬太尼总量、手术时间、麻醉时间差异无统计学意义。D组患者改良PAED评分明显高于S组(P0.05),苏醒时间明显短于S组(P0.05),两组患者入恢复室15 min NRS评分、拔管时间、寒战、恶心呕吐等差异无统计学意义。两组患者均未出现强行体动、切口裂开、出血增多、自行拔除导管等严重不良反应。结论地氟醚麻醉的成人骨科患者术后尽管从全身麻醉中苏醒更快,但苏醒期躁动发生程度较七氟醚麻醉更为严重。在地氟醚麻醉中认识到苏醒期躁动的风险性并预防重大并发症是非常重要的。     

超声引导神经阻滞复合全身麻醉在胫骨骨折手术中的应用

目的探讨超声引导股神经加腘窝入路坐骨神经阻滞复合全身麻醉在胫骨骨折内固定手术中的应用。方法择期行胫骨骨折内固定手术的患者60例,随机分为两组,每组30例。A组全身麻醉,B组全麻诱导后行超声引导下股神经加腘窝入路坐骨神经阻滞。记录患者丙泊酚用量、唤醒时间、拔管时间、拔管后10min Ramsay镇静评分、拔管后30min VAS疼痛评分及术后并发症情况;记录术后24h患者满意度。结果 B组患者术中丙泊酚用量明显少于A组(P0.05);B组唤醒时间和拔管时间明显短于A组(P0.05)。拔管后30min,B组VAS疼痛评分明显低于,术后24h患者满意度明显高于A组(P0.05)。结论全麻复合超声引导股神经加腘窝入路坐骨神经阻滞可明显减少术中全麻药用量,有利于术后快速苏醒,并且可以减轻早期术后疼痛,减少术后镇痛药的使用。     

体温保护对剖腹胃癌根治术患者快速康复的影响

目的观察体温保护对剖腹胃癌根治术患者快速康复的影响。方法选择剖腹胃癌根治术患者60例,男39例,女21例,年龄45~76岁,ASAⅠ或Ⅱ级,随机分成升温组和对照组,每组30例。升温组患者入室后给予体温保护,开启升温毯至42℃直至患者离开PACU,暴露皮肤均予以干净敷料覆盖,输注液体(包括复方乳酸钠、羟乙基淀粉及红细胞悬液)和腹腔冲洗液体均加热至40℃,呼吸过滤器安置于气管导管处。对照组患者未给予特殊保温加热措施。手术室温度调节至21~23℃。采用红外线鼓膜耳温计观察并记录两组患者入室时(T_1)、麻醉诱导前(T_2)、术中(T_3)、关腹(T_4)、拔管(T_5)、离开PACU(T_6)时患者的核心温度。观察并记录患者麻醉时间、手术时间、手术室温度、术中出血量、术中输血量、麻醉药物用量、总输液量和腹腔液体冲洗量、拔管时间和住院时间等;记录术后寒战、切口感染的发生情况。结果与T_1时比较,T_2~T_6时两组核心温度均明显降低,且升温组核心温度明显高于对照组(P0.05)。升温组术中出血量、术中输血量明显少于,拔管时间和住院时间明显短于,术后寒战及切口感染的发生率明显低于对照组(P0.05);两组麻醉时间、手术时间、手术室温度、麻醉药物用量、总输液量、腹腔冲洗液量差异无统计学意义。结论多方法联合体温保护措施,能明显降低剖腹胃癌根治术患者围术期低体温的发生,有利于患者术后康复。     

综合保温护理在腰椎融合手术患者中的应用

目的 探讨综合保温护理对在全身麻醉下腰椎融合手术患者术后应激反应及并发症的影响。方法 选取62例本院手术室接受全身麻醉下腰椎融合手术的患者,随机分为试验组和对照组各31例。试验组接受常规护理,对照组接受综合保温护理。记录患者入麻醉苏醒室和出麻醉苏醒室时的麻醉恢复评分、肾上腺素(adrenaline, AD)和去甲肾上腺素(noradrenaline norepinephrine, NE)水平、围手术期出现低体温和寒战次数,以及两组患者术前、术中1 h、进入麻醉苏醒室及出麻醉苏醒室时的机体核心体温,并进行统计学分析。结果 两组患者入麻醉苏醒室时的麻醉苏醒评分无统计学差异(P>0.05),试验组出室时的麻醉苏醒评分显著高于对照组(P<0.05);试验组患者的AD、NE水平显著低于对照组(P<0.05),试验组围手术期出现低体温及寒战的次数也显著低于对照组(P<0.05)。两组患者术前体温无明显差异,但试验组术中1 h、进入麻醉苏醒室及出麻醉苏醒室的体温均显著高于对照组(P<0.05)。结论 全身麻醉下腰椎融合手术患者采用综合保温护理,有助于术后意识恢复、缩短苏...     

全麻联合硬膜外阻滞对老年腹腔镜结肠癌根治术后认知功能障碍的影响

目的:探讨全身麻醉联合硬膜外阻滞麻醉对腹腔镜结肠癌根治术患者术后发生认知功能障碍(POCD)的影响。方法:选取2014年1月—2015年12月接受腹腔镜结肠癌根治手术治疗的110例老年患者进行研究,将患者随机分为治疗组(全身麻醉联合硬膜外阻滞麻醉)、对照组各55例(单纯全身麻醉),对比两组患者术后POCD的发生情况。结果:治疗组和对照组的手术时间、麻醉时间、瑞芬太尼用量、术中出血量、补液量、自主呼吸恢复时间、苏醒时间、拔管时间均无统计学差异(P0.05);治疗组的丙泊酚用量少于对照组患者(P0.05);术前治疗组和对照组的MMSE评分差异无统计学意义(P0.05);术后4、24 h,治疗组的MMSE评分高于对照组患者(P0.05);术后4、24 h,治疗组的POCD发生率分别为27.27%、12.73%,均高于对照组的49.09%、29.09%,差异均有统计学意义(均P0.05)。结论:全身麻醉联合硬膜外阻滞麻醉可减少腹腔镜结肠癌根治术患者的POCD发生率。     

术中适时调温策略在全麻双膝关节置换术中的应用

目的观察术中适时调温及常规保温策略对全麻双膝关节置换手术患者术中体温的影响,为低体温高风险人群探寻一种安全、有效的体温管理方法。方法选择全麻下行同期双膝关节置换手术患者98例,随机均分为观察组和对照组各49例。对照组采用常规被动保温和冲洗液加温措施;观察组采用术中适时调温策略。分别收集入室后、麻醉诱导后、手术开始时、手术40 min、手术80 min、手术120 min、出室时的体温、术中出血量、麻醉苏醒时间和术后寒战情况。结果两组体温均随着手术进程逐渐降低,对照组降幅更大,两组比较组间效应、时间效应、交互效应均P0.01。观察组观察期内低体温状况、麻醉恢复时间、寒战发生率与对照组比较,差异有统计学意义(均P0.01)。两组术中出血量比较差异无统计学意义(P0.05)。结论术中适时调温策略有利于提高全麻双膝关节置换手术中的体温值,降低低体温和寒战发生率,缩短麻醉苏醒时间。     

臂丛神经阻滞复合全麻在肩关节镜术中的应用

目的探讨超声引导肌间沟臂丛神经阻滞复合全身麻醉在肩关节镜术中的应用。方法在侧卧牵引位下行择期肩关节镜手术的患者72例,美国麻醉医师协会(ASA)分级Ⅰ或Ⅱ随机分为A、B两组(每组36例)。A组行全身麻醉,B组在超声引导下臂丛神经阻滞后再行全身麻醉。记录患者入室以及术中各时刻的心率(HR)、有创收缩压(SBP)、舒张压(DBP)和平均动脉压(MAP);记录术中麻醉药物瑞芬太尼的用量以其他药物的应用情况;记录拔管时间、苏醒后的疼痛视觉模拟评分(VAS)、以及两组间并发症等。结果 B组患者手术各时刻HR、MAP、瑞芬太尼用量、拔管时间都明显低于A组,两组间相关并发症的差异无统计学意义(P0.05)。结论臂丛神经阻滞复合全身麻醉能提高肩关节术中的麻醉质量而没有增加并发症发生。     

瑞芬太尼联合硬膜外麻醉在胃癌根治术中的应用及对血流动力学的影响

目的研究瑞芬太尼联合硬膜外麻醉在胃癌根治术中的应用效果以及对患者血流动力学的影响。方法选取2018年1月至2019年12月海南西部中心医院收治的100例行胃癌D2根治手术的患者作为研究对象。按照麻醉方式不同分为两组,各50例。联合组采用瑞芬太尼联合硬膜外麻醉,对照组仅行全身麻醉。比较两组患者手术相关指标、血流动力学指标、应激反应指标、出室前Steward苏醒评分、术后24 h疼痛评分(VAS)及并发症发生情况。结果联合组丙泊酚、瑞芬太尼用量少于对照组,拔管时间、苏醒时间优于对照组(P<0.05);两组手术时间、术中出血量、术中输液量及各时间点麻醉深度指数(CSI)差异无统计学意义。两组心率(HR)、平均动脉压(MAP)、收缩压(SBP)、舒张压(DBP)麻醉前差异均无统计学意义,但麻醉后60 min、拔管后10 min时联合组明显低于对照组(P<0.05)。术后3、7 d时联合组应激指标皮质醇(Cor)、去甲肾上腺素(Ne)、总抗氧化能力(TAC)水平明显低于对照组(P<0.05)。联合组Steward苏醒评分及术后24 h VAS评分均优于对照组(P<0.05)。结论瑞芬太尼联合硬膜外麻醉应用于胃癌根治术能够促进患者苏醒,维持患者术中血流动力学稳定,降低应激反应,缓解术后疼痛,安全可行,可在临床推广。     

两种不同麻醉方式对120例腰椎管狭窄减压术后的临床疗效影响研究

目的研究分析全身麻醉与硬膜外麻醉两种麻醉方式对腰椎管狭窄减压术后的影响研究分析。方法选取本院2015年6月至2016年5月收治的120例腰椎管狭窄患者作为研究对象,麻醉医师根据数字表法讲所有患者评分为A组(全身麻醉)和B组(硬膜外麻醉),观察两组患者手术时间、术中出血量、住院时间、住院费用;两组患者麻醉前(T0)、麻醉手术前(T1)、手术开始半小时(T2)、术中操作时(T3)、术毕(T4)的动脉血压、每分钟脉搏次数;麻醉诱导前、麻醉开始后6、12、24、48小时的认知功能MMS评分;两组患者术前、术后1、3、5小时的视觉疼痛模拟评分(VAS)及麻醉满意度情况比较。结果两组手术时间、术中出血量、住院时间、住院费用及各时间段的动脉血压、每分钟脉搏次数无显著差异,比较无统计学意义(P0.05);两组患者在麻醉后6、12、24小时的MMS评分均低于麻醉诱导前,差异具有统计学意义(P0.05);两组在麻醉后6、24、24、48小时的MMS评分无显著差异(P0.05);A组在术后1、3、5小时的VAS评分均低于B组,差异具有统计学意义(P0.05);两组患者麻醉效果满意度比较,A组患者满意度显著高于B组,差异具有统计学意义(P0.05)。结论腰椎管狭窄手术治疗患者采用硬膜外麻醉与全身麻醉对患者术后的认知功能无显著影响,但全身麻醉对腰椎管狭窄手术患者的镇痛效果更好,患者满意度更佳,适合临床医师选择应用。     

Postoperative shivering: analysis of main associated factors]

This study was carried out in 75 female patients, ranked ASA 1 or 2, during recovery from balanced general anaesthesia. It aimed to find out the main determinants of postoperative shivering and its thermal effects. Skin and oesophageal temperature were recorded every ten minutes. Mean skin and body temperatures, and the intraoperative energy balance were calculated. There was no additional source of heating. Shivering was ranked from 0 to 2. Statistical analysis showed that the starting mean core and body temperatures were the only factors correlated with shivering and its intensity, whereas mean skin temperatures, age and opioid doses were not. Between 33.5 and 36.5 degrees C, there was a linear relationship between the oesophageal temperature at the end of anaesthesia and the incidence of shivering. A decrease of 1 degrees C in core temperature increased the probability of shivering by 33%. At 35.4 degrees C, 50% of patients shivered. There was a homogenous group of patients whose oesophageal temperature at the end of anaesthesia was between 35 and 36 degrees C. In this group, there was no significant difference between starting skin temperatures, whether the patient shivered or not. However, the core temperature of those within that group that did shiver returned to normal levels more quickly than in those that did not shiver. These data underlined the essential role played by core temperature at the end of anaesthesia in postoperative shivering and its intensity, as well as the heat producing value of shivering. It would therefore seem logical to prevent postoperative shivering by avoiding intraoperative hypothermia.     

Postoperative shivering: aetiology and treatment

Most postanaesthetic shivering-like tremor is normal thermoregulatory shivering in response to core hypothermia. Therefore, shivering will be prevented by maintaining intraoperative normothermia. Other thermoregulatory-related shivering is caused by the release of cytokines by the surgical procedure. Non-thermoregulatory shivering, occurring in normothermic patients, is caused by other aetiologies such as postoperative pain. It is thus likely that adequate treatment of postoperative pain will ameliorate non-thermoregulatory tremor. In addition, the administration of antipyretic drugs reduces shivering in patients after cardiopulmonary bypass surgery.     

选择性痔上黏膜吻合器在直肠良性肿瘤治疗上的应用

目的 探讨选择性痔上黏膜吻合器(TST)手术对比传统经肛局部切除术,在直肠良性肿瘤治疗上的优势性.方法 将2007年3月至2010年月5月80例诊断为低位直肠良性肿瘤的患者分为治疗组与对照组.治疗组采用TST手术方法,对照组采用传统经肛肿物局部切除术,比较手术时间,术中出血量,术后大出血,术后疼痛,住院时间及住院相关费用,评价TST手术的优势性.结果 两组低位直肠良性肿瘤的患者在手术时间,术中出血量,术后疼痛,住院时间及住院费用上其差异有明显的统计学意义(P<0.01或P<0.05),但在术后大出血上无统计学意义(P>0.05).结论 TST手术在直肠良性肿瘤的治疗上有较大的优势性及发展性,为低位直肠良性肿瘤的治疗提供新的医疗途径.     

Radiosurgery versus carbon dioxide laser for dermatochalasis correction in Asians

BACKGROUND AND OBJECTIVES: Carbon dioxide (CO(2)) laser and radiosurgery are techniques commonly employed in oculoplastic surgery. However, there is no literature comparing their results in blepharoplasty. STUDY DESIGN/MATERIALS AND METHODS: Twenty Chinese patients with dermatochalasis underwent radiosurgery in one upper eyelid and CO(2) laser in the contralateral eyelid. Intraoperative time, hemorrhage, and pain control were assessed. Subjects were evaluated at postoperative 1 hour, 1 week, 1 month, and 3 months for hemorrhage and wound healing by a masked assessor. RESULTS: All patients reported minimal pain with either technique. A significantly shorter operative time was achieved with CO(2) laser, with better intraoperative hemostasis. There was no significant difference in postoperative hemorrhage and wound swelling between radiosurgery and CO(2) laser. No significant intraoperative complications were noted. CONCLUSIONS: Both radiosurgery and CO(2) laser are equally safe and effective for upper lid blepharoplasty. CO(2) laser achieves shorter operative time with superior intraoperative hemostasis.     

Chronic treatment with antidepressants decreases intraoperative core hypothermia

We investigated temperature regulation during anesthesia and postoperative shivering in chronically depressed patients given antidepressant drugs. We studied 35 depressed patients and 35 control patients who underwent orthopedic surgery. Tympanic membrane temperatures 60, 75, and 90 min after induction in the depression group were significantly (P < 0.05) higher than those of the control group. There were no significant differences in mean skin temperature between the depression and the control groups. Eight of 35 patients in the depression group and 2 of 35 patients in the control group developed postanesthetic shivering. The incidence of shivering in the depression group was significantly more frequent than that in the control group (P = 0.04). The tympanic membrane temperature of the patients treated with clomipramine tended to be higher than that of the patients treated with maprotiline. In conclusion, intraoperative core hypothermia in chronically depressed patients was decreased. However, the incidence of shivering in depressed patients was significantly more frequent. IMPLICATIONS: Thermoregulation in chronically depressed patients is often altered. The alteration of body temperature is affected by depression itself and by antidepressants. General anesthesia has an influence on thermoregulatory control. However, temperature regulation during anesthesia in chronically depressed patients remains unclear.     

Thermal welding versus bipolar tonsillectomy: A comparative study

OBJECTIVE: To compare thermal welding tonsillectomy (TWT) with bipolar electrocautery tonsillectomy (BET) procedure. STUDY DESIGN AND SETTING: A prospective randomized study was conducted on 150 consecutive adult patients undergoing tonsillectomy. Indications included chronic tonsillitis and obstructive sleep apnea syndrome. Exclusion criteria included peritonsillar abscess history, bleeding disorders, and any other procedure together with tonsillectomy. Patients were randomly assigned to TWT or BET groups. Intraoperative bleeding, operative time, postoperative pain, complication rates, and return to normal diet were evaluated. RESULTS: In the TWT group there was no measurable intraoperative bleeding, while mean bleeding for BET group was 16 mL. No significant difference regarding mean operative time was noticed. Mean postoperative pain score and mean time for return to normal diet were significantly lower in the TWT group. Primary hemorrhage occurred in 1 subject of the BET group. Secondary postoperative hemorrhage was noticed in 1 subject of the TWT group and 3 subjects of the BET group. CONCLUSION: Thermal welding tonsillectomy procedure provides sufficient hemostasis, lower postoperative pain, and quick return to normal diet. EBM RATING: A-1b.     

Effect of amino acid solutions on intraoperative hypothermia and postoperative shivering. Comparison of two anesthetic regimens

BACKGROUND: Intraoperative hypothermia is a major adverse effect of general anesthesia. The different anesthetics may influence thermoregulation differently. Proteins or amino acids have been postulated to stimulate heat production. The purpose of this study is to compare the effects of intraoperative administration of amino acid solutions on intraoperative hypothermia and postoperative shivering in two different anesthetic regimens. METHODS: Forty ASA I-III craniotomy patients were assigned to four groups of 10 patients in a randomized prospective study, as follows: ISO - isoflurane-based anesthesia; PRO - propofol-based anesthesia; ISO + AA - Isoflurane-based anesthesia with supplementation of amino acid infusion; PRO + AA - Isoflurane-based anesthesia with supplementation of amino acid infusion. Hemodynamic parameters, esophageal temperature and postoperative shivering scores were recorded. RESULTS: Core temperatures were higher during emergence in amino acid-treated propofol group, compared with the other groups. The core temperature decreased significantly in three groups throughout the operation, except the in amino acid-treated propofol group. The shivering intensity was less in the amino acid-treated groups. CONCLUSION: The anesthetic method may influence the thermic effect of amino acids under general anesthesia. Propofol anesthesia has more thermogenic effect than isoflurane when combined with amino acid solutions.     

Heated and humidified insufflation during laparoscopic gastric bypass surgery: effect on temperature, postoperative pain, and recovery outcomes

BACKGROUND: Controversy exists regarding the efficacy of heated and humidified intraperitoneal gases in maintaining core body temperature. We performed a sham-controlled study to test the hypothesis that active warming and humidification of the insufflation gas reduces intraoperative heat loss and improves recovery outcomes. PATIENTS AND METHODS: Fifty morbidly obese patients undergoing laparoscopic Roux-en-Y gastric bypass procedures using a standardized anesthetic technique were randomly assigned to either a control (sham) group receiving room temperature insufflation gases with an inactive Insuflow (Lexion Medical, St. Paul, MN) device, or an active (Insuflow) group receiving warmed and humidified intraperitoneal gases. Esophageal and/or tympanic membrane temperature was measured perioperatively. Postoperative pain was assessed at 15 minute intervals using an 11-point verbal rating scale, with 0 = none to 10 = maximal. In addition, postoperative opioid requirements, incidence of nausea and vomiting, as well as the quality of recovery, were recorded. RESULTS: Use of the active Insuflow device was associated with significantly higher mean +/- standard deviation (SD) intraoperative core body temperatures (35.5 +/- 0.5 vs. 35.0 +/- 0.4 degrees C). Postoperative shivering (0 vs. 19%) and the requirement for morphine in the postanesthesia care unit (5 +/- 4 vs. 10 +/- 5 mg) were both significantly lower in the Insuflow vs. control groups. Patients in the Insuflow group also reported a higher quality of recovery 48 hours after surgery (15 vs. 13, P < 0.05). CONCLUSION: The Insuflow device modestly reduced shivering and heat loss, as well as the need for opioid analgesics in the early postoperative period. However, it failed to improve laparoscopic visualization due to fogging, and provided improvement in the quality of recovery only on postoperative day 2.     

改良“瞄准器”状缝合术在回肠预防性造口还纳术中的应用

目的 探讨改良“瞄准器”状缝合术处理回肠造口还纳术后腹壁切口的应用效果。方法 回顾性分析2019年2月至2022年2月间笔者团队收治的58例回肠造口还纳术患者病例资料,根据造口还纳术后腹壁切口缝合方式的不同,将研究对象分为观察组（26例）及对照组（32例）,观察组采用改良“瞄准器”状缝合术,对照组采用传统一期缝合术。比较两组患者的手术时间、术中出血量、术后进食时间、拆线时间、术后住院时间、切口感染率及术后切口疼痛评分。结果 观察组术后进食时间、拆线时间、术后住院时间、术后第一天疼痛评分及切口感染率明显低于对照组（均P < 0.05）。两组手术时间、术中出血量差异比较未见统计学意义（均P > 0.05）。结论 与传统一期缝合术相比,改良“瞄准器”状缝合术处理腹壁切口可明显降低回肠造口术后切口感染率及术后第一天疼痛感,缩短术后进食时间、拆线时间及术后住院时间。     

悬吊式腹腔镜手术与气腹腹腔镜手术治疗卵巢囊肿的对比研究

目的:探讨悬吊式腹腔镜手术治疗卵巢囊肿的临床价值。方法:回顾分析2008年2月至2009年3月我院用悬吊式腹腔镜与气腹腹腔镜手术治疗卵巢囊肿患者各30例的临床资料。结果:悬吊式腹腔镜组在手术时间、术中出血、术后疼痛及住院费用等方面明显优于气腹腹腔镜组,差异有统计学意义(P<0.01)。两组术后排气时间及住院时间差异无统计学意义(P>0.01)。结论:悬吊式腹腔镜卵巢囊肿手术安全有效,与传统气腹腹腔镜手术相比具有手术时间短,术中出血少,术后疼痛轻等优点。