高低截石位在腹腔镜辅助下阴式全子宫切除术术野暴露中的研究  

Research on high and low lithotomy position on operative visual field exposure in laparoscopic assisted vaginal hysterectomy

作　　者：王晓础 俞英 陈丽莉 

机构地区：[1]温州医科大学附属第一医院

出　　处：《护理与康复》2019年第6期13-16,共4页Journal of Nursing and Rehabilitation

基　　金：温州市2016年公益性科技计划项目,编号:Y20160601

摘　　要：目的观察高低截石位在腹腔镜辅助下阴式全子宫切除术术野暴露的效果。方法将80例患者随机分为观察组(高低截石位)40例和对照组(常规截石位)40例,观察两组患者术中体位调整例数和手术医生对术野暴露满意度来比较手术视野暴露效果,并比较两组患者手术时间、术中出血量、血流动力学变化及体位并发症。结果观察组术中手术体位调整例数明显低于对照组,观察组手术医生对术野暴露满意度高于对照组,差异有统计学意义(P<0.01);观察组手术时间和术中出血量均少于对照组,差异具有统计学意义(P<0.05);血流动力学变化、体位并发症观察组与对照组比较差异无统计学意义。结论高低截石位能提高腹腔镜辅助下阴式全子宫切除术术野暴露效果,缩短手术时间,减少术中出血量。Objective To observe the effect of high and low lithotomy position on operative field exposure in laparoscopic assisted vaginal hysterectomy.Method Divide 80 patients into observation group(n=40,high and low lithotomy position)and control group(n=40,routine lithotomy position)randomly.Compare the operative field exposure effect by position adjustment cases and surgeon’s satisfaction level on operative field exposure between two groups.Compare operation time,intraoperative blood loss,hemodynamic changes and postural complications between two groups.Result Observation group has less position adjustment cases and higher surgeon’s satisfaction level on operative field exposure than control group.The difference is significant(P<0.01).Observation group has shorter operation time and less intraoperative blood loss than control group.The difference is significant(P<0.05).There is no significant difference on hemodynamic changes and postural complications between two groups.Conclusion High and low lithotomy position can improve operative field exposure in laparoscopic assisted vaginal hysterectomy,shorten operation time and reduce intraoperative blood loss.

关 键 词：截石位 腹腔镜手术 全子宫切除术 术野暴露 

分 类 号：R472.3[医药卫生—护理学]