CAJ | 학술논문

目的：探讨胸腰椎后路俯卧位手术体位安置改良方法的适用性。方法将200例胸腰椎骨折内固定术、髓核摘除术、椎体滑脱行内固定术及内固定物取出术的病人随机分成对照组和观察组，对照组采用传统的手术体位安置方法，观察组采用改良的手术体位安置方法，观察手术患者术后反馈头面部、双上肢的舒适度及强迫体位所致安全性。结果手术术中患者的舒适性、满意度、安全性及手术医生的满意度明显优于对照组。结论体位经过改良后，效果更好，患者在术中更加安全与舒适，有利于手术医生操作，保证手术的成功及减少病人术后并发症，提高患者的舒适感及满意度，提高手术医生的满意度。
목적：탐토흉요추후로부와위수술체위안치개량방법적괄용성。방법장200례흉요추골절내고정술、수핵적제술、추체활탈행내고정술급내고정물취출술적병인수궤분성대조조화관찰조，대조조채용전통적수술체위안치방법，관찰조채용개량적수술체위안치방법，관찰수술환자술후반궤두면부、쌍상지적서괄도급강박체위소치안전성。결과수술술중환자적서괄성、만의도、안전성급수술의생적만의도명현우우대조조。결론체위경과개량후，효과경호，환자재술중경가안전여서괄，유리우수술의생조작，보증수술적성공급감소병인술후병발증，제고환자적서괄감급만의도，제고수술의생적만의도。
OBJECTIVE To investigate the thoracolumbar posterior surgical position placed in the prone position improved methods of applicability; Methods 200 patients who underwent thoracolumbar fracture internal fixation, resection of nucleus pulposus, spondylolisthesis underwent internal fixation and removal of internal fixation were randomly divided into the observation group and the control group. The patients in control group were treated by the traditional method of operation position, and the patients in observation group were treated by the improved method of prone position. The comfort of head and face and upper limbs and security in operation were told by patients and recorded. Results The observation group showed the better comfort, satisfaction and security than the control group. Conclusion After surgery position improved, the patients in the operation were more safe and felt more comfortable, and the improved position could help to operate, and contribute to the success of operation and the decrease of postoperative complications, and improve the patient's comfort and satisfaction ,and the surgeon `s satisfaction.