刻度桶与手术薄膜在宫腔镜术中计算灌流差的设计与应用  

Design and application of scale barrel and surgical film in calculation of perfusion difference in hysteroscopy

作　　者：温明珠 唐秋霞 谢晓珍 刘金华 李雪年 WEN Mingzhu;TANG Qiuxia;XIE Xiaozhen;LIU Jinhua;LI Xuenian(Department of Obstetrics and Gynecology,Ganzhou Municipal Hospital in Jiangxi Province,Ganzhou341000,China)

机构地区：[1]江西省赣州市立医院妇产科,江西赣州341000

出　　处：《中国现代医生》2022年第7期59-61,101,共4页China Modern Doctor

基　　金：江西省卫生健康委科技计划项目(20204644)。

摘　　要：目的观察刻度桶与手术薄膜在宫腔镜术中的应用价值。方法选取2019年1月至2020年1月江西省赣州市立医院接受宫腔镜手术治疗的患者100例,依据简单随机数字表法将患者分为观察组(n=50)与对照组(n=50)。观察组宫腔镜术中采取刻度桶与手术薄膜计算灌流差,对照组采取常规估算形式计算灌流差。统计两组无菌巾淋湿率、地面淋湿率、经尿道前列腺切除术(trans urethral resection prostate,TURP)综合征发生率及标本流失率、主刀医生及巡回护士的满意度。结果观察组无菌巾淋湿率(6.0%)、地面淋湿率(2.0%)均低于对照组(90.0%、50.0%),差异有统计学意义(P<0.05);观察组标本流失率(2.0%)低于对照组(20.0%),差异有统计学意义(P<0.05);观察组TURP综合征发生率(0)低于对照组(4.0%),但差异无统计学意义(P>0.05);观察组主刀医生满意度(94.0%)、巡回护士满意度(92.0%)均高于对照组(10.0%、50.0%),差异有统计学意义(P<0.05)。结论宫腔镜手术中采取刻度桶与手术薄膜计算灌流差,可降低无菌巾和地面淋湿率,提升灌流差计算准确度,并最大程度降低TURP综合征发生风险,保证患者手术治疗安全性,且主刀医生及巡回护士满意度较高。Objective To observe the application value of scale barrel and surgical film in hysteroscopy.Methods A total of 100 patients who underwent hysteroscopy in our hospital from January 2019 to January 2020 were selected.They were divided into the observation group(n=50)and the control group(n=50)using simple random number table method.The observation group were given scale barrel and surgical film to calculate the perfusion difference in hysteroscopy,and the control group were given routine estimation method to calculate the perfusion difference.The sterile towel wet rate,ground wet rate,incidence of trans urethral resection of prostate(TURP)syndrome,specimen loss rate,and satisfaction degrees of attending surgeons and itinerant nurses were analyzed.Results The sterile towel wet rate(6.0%)and ground wet rate(2.0%)in the observation group were lower than those in the control group(90.0%,50.0%),with statistically significant differences(P<0.05).The specimen loss rate in the observation group(2.0%)was lower than that in the control group(20.0%),with statistically significant difference(P<0.05).The incidence of TURP syndrome in the observation group(0)was lower than that in the control group(4.0%),without statistically significant difference(P>0.05).The satisfaction degrees of attending surgeons(94.0%)and itinerant nurses(92.0%)in the observation group were higher than those in the control group(10.0%,50.0%),with statistically significant differences(P<0.05).Conclusion The use of scale barrel and surgical film to calculate the perfusion difference in hysteroscopy can reduce sterile towel and ground wet rate,improve accuracy of calculation of perfusion difference,minimize risk of TURP syndrome,and ensure safety of surgical treatment,with high satisfaction of attending surgeons and itinerant nurses.

关 键 词：宫腔镜 手术 刻度桶与手术薄膜 计算灌流差 

分 类 号：R713[医药卫生—妇产科学]