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改良截石位在腹腔镜下子宫切除术中的应用
作者姓名:李苓惠
作者单位:南京市江宁医院
摘    要:目的 探讨改良头低足高截石位对妇科腹腔镜手术病人并发症发生率及舒适度的影响。方法 选取2020年8月~2021年8月我院妇科收治的腹腔镜手术病人100例作为对照组,采用常规截石位手术;选取2020年8月~2021年8月收治的腹腔镜手术病人100例作为观察组,采用改良中凹截石位手术,在患者麻醉前进行节时节力原则上的体位摆放,术中降低气腹压,在手术结束时采取单腿慢放式截石位归位法,比较两组手术时间、出血量、并发症发生情况及舒适度。结果 观察组手术时间均短于对照组,术中出血量少于对照组,两组比较差异有统计学意义(P<0.05);观察组下肢麻木、下肢肿胀、下肢疼痛、肩部疼痛、眼睑水肿等并发症发生率均低于对照组,两组比较差异有统计学意义(P<0.05);观察组舒适度高于对照组,两组比较差异有统计学意义(P<0.05)。结论 腹腔镜下子宫切除手术病人采取改良截石位以及放置和归位方法有助于优化手术相关指标,降低术后并发症发生率,提高病人舒适度。

关 键 词:腹腔镜手术  改良截石位  子宫切除术  并发症  舒适度  干预方法
收稿时间:2022/4/24 0:00:00
修稿时间:2022/8/23 0:00:00

Application of modified lithotomy position in laparoscopic hysterectomy
Abstract:Abstract:Obiective the influence of intervention methods on the incidence of complications and comfort of gynecological patients undergoing laparoscopic surgery.Methdods:A total of 100 patients with laparoscopic surgery admitted to our hospital from August 2020 to August 2021 were selected as the control group, and conventional lithotomy was performed. A total of 100 patients admitted for laparoscopic surgery from August 2020 to August 2021 were selected as the observation group. Modified mid-notch lithotomy was performed. Patients were placed in the position of strength in principle before anesthesia, pneumoperitoneum pressure was reduced during surgery, and one-leg slow lithotomy was adopted at the end of surgery to compare the amount of blood loss during surgery between the two groups Complications and comfort level.Results:The operation time of observation group was shorter than that of control group, and the amount of intraoperative blood loss was less than that of control group, and the difference between the two groups was statistically significant (P<0.05). The incidence of lower limb numbness, lower limb swelling, lower limb pain, shoulder pain, eyelid edema and other complications in the observation group was lower than that in the control group, and the difference between the two groups was statistically significant (P<0.05). The comfort level of the observation group was higher than that of the control group, and the difference was statistically ((P<0.05).Conclusion:Modified lithotomy position, placement and placement in patients undergoing laparoscopic hysterectomy are helpful to optimize surgical indicators, reduce the incidence of postoperative complications and improve patient comfort.
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