改良截石位在妇科腹腔镜手术中的应用  

Application of Modified Lithotomy Position in Gynecological Laparoscopic Surgery

作　　者：张群秀[1] 陈雪燕[1] 黄雪莲[1] 周海宁[1] 

机构地区：[1]广东医学院附属医院手术室,广东湛江524001

出　　处：《护理学杂志》2007年第20期4-5,共2页

摘　　要：目的探讨改良截石位在妇科腹腔镜手术中的应用效果。方法将146例妇科腹腔镜手术患者随机分为对照组和改良组各73例,对照组采用常规截石体位,将托腿架关节端置于腘窝处,托腿板支托患者大腿。改良组采用改良截石位,即将托腿架按患者仰卧屈髋高度固定于手术床上,托腿板支托小腿肌肉丰满处且使膝关节以上和腹部近于水平位。观察两组手术时间、术后24h并发症发生率及首次下床活动时间。结果改良组手术时间较对照组显著缩短(P<0.01),术后24h并发症发生率较对照组显著降低(P<0.05,P<0.01),首次下床活动时间显著早于对照组(P<0.01)。结论改良截石位能为妇科腹腔镜手术患者提供良好的手术环境,有效预防术后并发症,提高腹腔镜手术安全性和有效性。Objective To examine the results of a modified lithotomy position in gynecological laparoscopic surgery. Methods A total of 146 patients were randomly divided into a control group and a modified position group. The patients in the control group assumed traditional lithotomy position, with the popliteal fossa on knee crutch, and tight on a legrest. In the modified position group, the knee crutch was fixed on the operation table to suit the patient when the patient assumed supine position and bent the knees and the leg-rest supported the fleshy part of the leg, with the top of the knee joint at the same level with abdomen. The operation time, complications within 24 h after operation and the time of out-of-bed activity were observed in the two groups. Results In the modified position group, the operation time was significantly shorter than that in the control group （P〈0.01）, the complications within 24 h after operation were significant lower （P〈0.05,P〈0.01） and the out-of-bed activity took place significantly earlier （P〈0.01）. Conclusion The modified lithotomy position can facilitate gynecological laparoscopic operation, effeotively prevent postoperative complications and improve the safety and effectiveness of the operation.

关 键 词：腹腔镜手术 截石位 妇科 手术中护理 

分 类 号：R472.3[医药卫生—护理学]