CAJ | 학술논문

目的探讨3种手术体位对针型胸腔镜胸交感神经链切断术的影响.方法选择针型胸腔镜胸交感神经链切断术患者60例,按手术体位分成侧卧位组、半坐卧位组、改良半坐卧位组,每组20例.监测体位改变前后气管导管位置、无创血压、心率,评价术野暴露情况,记录手术时间,患者术后舒适度.结果 3种体位均能够顺利完成手术,改良半坐卧位能够保证手术视野及患者舒适度,操作方便,手术时间短.结论针型胸腔镜胸交感神经链切断术采用改良半坐卧位,既可保证手术视野及患者的舒适度,又能稳定和改善患者的循环功能,缩短手术时间.
목적 탐토3충수술체위대침형흉강경흉교감신경련절단술적영향.방법 선택침형흉강경흉교감신경련절단술환자60례,안수술체위분성측와위조、반좌와위조、개량반좌와위조,매조20례.감측체위개변전후기관도관위치、무창혈압、심솔,평개술야폭로정황,기록수술시간,환자술후서괄도.결과 3충체위균능구순리완성수술,개량반좌와위능구보증수술시야급환자서괄도,조작방편,수술시간단.결론 침형흉강경흉교감신경련절단술채용개량반좌와위,기가보증수술시야급환자적서괄도,우능은정화개선환자적순배공능,축단수술시간.
Objective To explore the effect of three surgical positions on needle-assisted thoracoscopic sympathicotomy. Methods Sixty patients undergoing needle-assisted thoracoscopic sympathicotomy were divided into lateral position group，Fowler position group，and modified Fowler position group. The position of the endotracheal tube，noninvasive blood pressure (NIBP) and heart rate were monitored before and after the body position was changed. Moreover，the exposure of surgical field,operation time and comfort degree of patients were recorded. Results The operations were completed successfully under the three positions. Modified Fowler position provided better surgical field and higher comfort degree of patients. Moreover,it was convenient for operative procedure and shortened the operation duration. Conclusion During the operation of needle-assisted thoracoscopic sympathicotomy,modified Fowler position can provide better surgical exposure,enhance comfort of patients,stabilize hemodynamics and shorten operation duration.