腹腔镜稳定跟踪系统与腹腔镜操作助手在手术中的有效性以及安全性的对比研究  

Comparative Study on the Efficacy and Safety of Laparoscopic Stability Tracking System and Laparoscopic Operation Assistant in Surgery

作　　者：王轩[1] 王世军[1] 周莲娥[1] 万安霞[1] 康保华[1] WANG Xuan;WANG Shijun;ZHOU Lian'er(Xuanwu Hospital of Capital Medical University,Bejing Xicheng District 100053,China)

机构地区：[1]首都医科大学宣武医院妇产科,北京西城区100053

出　　处：《河北医学》2021年第7期1169-1174,共6页Hebei Medicine

基　　金：首都医科大学本科生科研创新项目,(编号:XSKY2019)。

摘　　要：目的:探讨腹腔镜稳定跟踪系统与腹腔镜操作助手在手术中的有效性以及安全性的差异。方法:选取于2019年1月29日至2019年12月14日在首都医科大学宣武医院妇产科、北京大学人民医院胃肠外科和妇产科、北京大学第三医院普通外科进行腹腔镜微创手术的患者100例为研究对象,按照中央随机法将其分为研究组(n=50)和对照组(n=50),研究组患者运用腹腔镜稳定跟踪系统,对照组患者运用腹腔镜操作助手,比较两组患者的手术有效性和安全性。结果:与对照组患者相比,研究组患者手术过程中腹腔镜取出清洁的次数以及图形稳定性均明显偏优且差异具有统计学意义(P<0.05);两组患者在操作的灵活有效性、使用舒适性以及改善手术效率方面的总满意度的之间的差异无统计学意义(P>0.05);两组患者术后各项不良事件的发生率的差异均不具有统计学意义(P>0.05);两组患者术后第1天、第2天以及第7~10天的切口愈合良好率之间的差异无统计学意义(P>0.05)。结论:与腹腔镜操作助手相比,腹腔镜稳定跟踪系统获得的视频图像稳定性明显偏优,腹腔镜取出清洁次数偏少,并且术者的操作满意度以及术后患者病情恢复则不亚于腹腔镜操作助手,具有较好的有效性和安全性。Objective:To explore the differences between laparoscopic stability tracking system and laparoscopic operation assistant in the effectiveness and safety of surgery.Methods:From January 29,2019 to December 14,2019,100 patients who underwent laparoscopic minimally invasive surgery in the Department of Obstetrics and Gynecology,Xuanwu Hospital of Capital Medical University,Department of Gastrointestinal surgery and Obstetrics,People's Hospital of Peking University,and general surgery Department of the Third Hospital of Peking University were selected as the research objects.According to the central random method,they were divided into study group(n=50)and control group(n=50),Patients in the study group were treated with laparoscopic stable tracking system,while patients in the control group were treated with laparoscopic assistant.The efficacy and safety of the two groups were compared Results:Compared with the control group,the number of times of laparoscopic removal and cleaning and the graphic stability were significantly better in the study group,and the differences were statistically significant(P>0.05).There were no statistically significant differences between the two groups in terms of flexibility and effectiveness of operation,ease of use,and overall satisfaction with improving surgical efficiency(P>0.05).There was no statistically significant difference in the incidence of postoperative adverse events between the two groups(P<0.05).There was no significant difference in the rate of good wound healing between the two groups on day 1,day 2,and day 7-10 after surgery(P>0.05).Conclusion:Compared with the laparoscopic operation assistant,the video image stability obtained by the laparoscopic stable tracking system is significantly better,the number of laparoscopic removal and cleaning is less,and the operator's operation satisfaction and postoperative recovery of patients are no less than the laparoscopic operation assistant,which has better effectiveness and safety.

关 键 词：腹腔镜稳定跟踪系统 腹腔镜操作助手 有效性 安全性 

分 类 号：R656[医药卫生—外科学]