新型剖腹单联合腔镜袋铺巾法在食管癌三切口手术中的应用  

The application of a new type of laparotomy combined with laparoscopic bag laying method in three incision surgery for esophageal cancer

作　　者：刘迎春 刘慧[1] 张文慧 LIU Ying-chun;LIU Hui;ZHANG Wen-hui(The First Affiliated Hospital of China University of Science and Technology(Anhui Provincial Hospital),Hefei 230001,Anhui)

机构地区：[1]中国科学技术大学附属第一医院(安徽省立医院)手术室,安徽合肥230001

出　　处：《安徽医专学报》2024年第3期135-137,共3页Journal of Anhui Medical College

摘　　要：目的:探讨设计的新型手术剖腹单及专用腔镜手术置物袋在食管癌三切口手术中的临床应用效果。方法:选取在医院行食管癌三切口手术的92例食管癌患者作为研究对象,采用随机数表法分为对照组和观察组,各46例患者。对照组采用传统剖腹单铺巾方法,观察组采用新型剖腹单联合腔镜袋铺巾方法,比较两组铺巾时间、手术敷料耗损率、手术器械滑落率及医护人员满意度。结果:观察组铺巾时间低于对照组,差异有统计学意义(P<0.05);观察组手术敷料耗损率及手术器械滑落率与对照组比较,差异无统计学意义(P>0.05);观察组医护人员满意度高于对照组,差异具有统计学意义(P<0.05)。结论:新型剖腹单联合腔镜袋铺巾方法可显著缩短手术铺巾时间,且不会增加手术敷料耗损率和器械滑落率,提高医护人员满意度,同时提高手术室工作效率,进一步提升手术室护理质量。Objective:To design a new type of surgical laparotomy sheet and a specialized endoscopic surgical storage bag,and to explore their clinical application effect in three incision surgery for esophageal cancer.Method:A total of 92 esophageal cancer patients who underwent three incision surgery for esophageal cancer at a tertiary A hospital in Hefei were selected as the study subjects.They were randomly divided into a control group and an observation group with 46 patients in each group using a random number table method.The control group used the traditional single laparotomy method for drape placement,while the observation group used the new method of single laparotomy combined with endoscopic bag drape placement.The drape placement time,surgical dressing wear rate,and surgical instrument slip rate were compared between the two groups.Results:It showed that the towel laying time in the observation group was lower than that in the control group,and the difference between the two groups was statistically significant(P<0.05);There was no statistically significant difference in the wear rate of surgical dressings and the slip rate of surgical instruments between the observation group and the control group(P>0.05).Conclusion:The new method of combining laparotomy with endoscopic bag drape placement can significantly reduce the surgical drape placement time,without increasing the rate of surgical dressing wear and instrument slip,improving the efficiency of operating room work and improving the quality of operating room care.

关 键 词：食管癌三切口手术 铺巾方法 铺巾时间 敷料耗损 

分 类 号：R735.1[医药卫生—肿瘤]