CAJ | 학술논문

目的：探讨腹腔镜手术中腹腔引流管放置技巧。方法：选取需要放置腹腔引流管的病例，采用三种不同腹腔引流管放置方法，即：1、引流管直接从戳卡中置入法；2、拔除戳卡，直接以普通弯钳钳夹从戳孔中置入；3、腔镜手术钳从A戳卡置入，在B戳卡的引导下，由腹内向腹外从B戳卡穿出，退出B戳卡，用腔镜手术钳钳夹引流管由外向内拖至腹腔内置入（附注：1、2方法的戳卡位置及3方法的B戳卡位置均为腹腔引流管位置）。采用SNK-q检验比较不同放置方法所费的时间。结果：第三种方法所费时间最少，优于前两种方法。结论：第三种方法是一种简便的新方法，在临床中可以大力推广。
목적：탐토복강경수술중복강인류관방치기교。방법：선취수요방치복강인류관적병례，채용삼충불동복강인류관방치방법，즉：1、인류관직접종착잡중치입법；2、발제착잡，직접이보통만겸겸협종착공중치입；3、강경수술겸종A착잡치입，재B착잡적인도하，유복내향복외종B착잡천출，퇴출B착잡，용강경수술겸겸협인류관유외향내타지복강내치입（부주：1、2방법적착잡위치급3방법적B착잡위치균위복강인류관위치）。채용SNK-q검험비교불동방치방법소비적시간。결과：제삼충방법소비시간최소，우우전량충방법。결론：제삼충방법시일충간편적신방법，재림상중가이대력추엄。
Objective:Discuss the placement techniques of abdominal cavity drainage tube in laparoscopic operation. Methods: Select the cases of abdominal cavity drainage tube,s placement and use three placement methords of abdominal cavity drainage tube in laparoscopic operation.The three methords :1.The drainage tube can be placed from trocars; 2.Removal of trocars, place abdominal cavity drainage tube from the stamp hole with ordinary curved forceps; 3. Under the guidance of B trocars,the laparoscopic forceps is placed into from A trocars and out of from B trocars. Exit the B trocars and place the drainage tube from outsid to inside with the laparoscopic forceps(NOTE:The trocars, location in the first two methods and the B trocars in the third method are the abdominal cavity drainage tube,s position). Compare the time of three methods with SNK-q test. Results:The time of a third method is the least. There is statistical significance with the first two methods. Conclusion: The third is a new method for the most convenient, can be popularized in the actual operation process.