自制装置单孔无气腹悬吊式腹腔镜妇科手术的具体操作方法与效果观察  

The specific operation method and effect observation of the self-made device single hole gasless suspending laparoscopic gynecological surgery

作　　者：高瑜 黄海伟 GAO Yu;HUANG Haiwei(Department of Gynecology,Zhangjiagang Hospital Affiliated to Soochow University,Zhangjiagang,Jiangsu,215600,China)

机构地区：[1]苏州大学附属张家港医院妇科,江苏张家港215600

出　　处：《当代医学》2022年第11期51-54,共4页Contemporary Medicine

摘　　要：目的探究自制装置单孔无气腹悬吊式腹腔镜妇科手术的应用效果。方法选取2019年1月至2021年1月本院妇产科收治的30例妇科良性疾病患者作为研究对象,按照随机数字表法分为对照组与观察组,每组15例。对照组行常规多孔腹腔镜手术治疗,观察组行自制装置单孔无气腹悬吊式腹腔镜手术治疗,比较两组应激反应、呼吸循环功能及围手术期指标。结果术前,两组皮质醇(Cor)、去甲肾上腺素(NE)水平比较差异无统计学意义;术后24 h,两组Cor、NE水平均高于术前,但观察组低于对照组(P<0.05)。T_(3)时,观察组收缩压(SBP)、舒张压(DBP)及心率(HR)与T_(1)、T_(2)比较差异无统计学意义,对照组BP、DBP及HR均高于T_(1)、T_(2),差异有统计学意义(P<0.05);T_(3)时,观察组SBP、DBP及HR均低于对照组,差异有统计学意义(P<0.05)。T_(3)、T_(4)、T_(5)时,观察组呼气末CO_(2)(P_(ET)CO_(2))均低于对照组,对照组P_(ET)CO_(2)高于T_(2)时,差异有统计学意义(P<0.05);T_(3)、T_(4)时,观察组P_(ET)CO_(2)比较差异无统计学意义。两组术中出血量比较差异无统计学意义;观察组手术时间、术后排气时间及住院时间均明显短于对照组(P<0.05)。结论自制装置单孔无气腹悬吊式腹腔镜妇科手术能最大限度减少患者生理应激反应,且具有较高的手术安全性,利于患者康复。Objective To explore the application effect of self-made device single hole non pneumoperitoneum suspension laparoscopic gynecological surgery.Methods 30 patients with benign gynecological diseases treated in Obstetrics and Gynecology Department of our hospital from January 2019 to January 2021 were selected as the research subjects,and they were randomly divided into control group and observation group,with 15cases in each group.The control group was treated with conventional multi hole laparoscopic surgery,and the observation group was treated with self-made single hole gasless suspension laparoscopic surgery.The stress response,respiratory and circulatory function and perioperative indexes were compared between the two groups.Results There was no significant difference in the levels of cortisol(Cor)and noradrenaline(NE)between the two groups before operation;24 h after operation,the levels of Cor and NE in the two groups were higher than those before operation,but the levels in the observation group were lower than those in the control group(P<0.05).At T_(3),there was no significant difference in systolic blood pressure(SBP),diastolic blood pressure(DBP)and heart rate(HR)between the observation group and T_(1)and T_(2),SBP,DBP and HR in the control group were higher than T_(1)and T_(2)(P<0.05);at T_(3),SBP,DBP and HR in the observation group were lower than those in the control group(P<0.05).At T_(3),T_(4)and T_(5),end-tidal pressure of carbon dioxide(P_(ET)CO_(2))in the observation group was lower than that in the control group,P_(ET)CO_(2)in the control group was higher than T_(2),the difference was statistically significant(P<0.05);there was no significant difference in P_(ET)CO_(2)between the observation group at T_(3)and T_(4).There was no significant difference in intraoperative bleeding between the two groups;the operation time,postoperative exhaust time and hospital stay in the observation group were significantly shorter than those in the control group(P<0.05).Conclusion The efficacy of single hole ga

关 键 词：妇科良性疾病 自制装置 腹腔镜 单孔无气腹悬吊式 

分 类 号：R713[医药卫生—妇产科学]