医学信息
醫學信息
의학신식
MEDICAL INFORMATION
2014年
14期
477-478
,共2页
外阴癌%腹腔镜%腹股沟淋巴结%体位%截石位
外陰癌%腹腔鏡%腹股溝淋巴結%體位%截石位
외음암%복강경%복고구림파결%체위%절석위
Vulval Carcinoma%Laparoscope%Inguinal Lymph Nodes%Position%Lithotomy Position
目的探讨外阴癌腹腔镜下腹股沟淋巴结清扫术时的最佳手术体位。方法对外阴癌腹腔镜下双侧腹股沟淋巴结清扫术中3种不同手术体位，对手术时间、医生对手术操作空间满意度、患者术后舒适度、术后切口感染率等方面进行比较。结果2例安置传统手术体位患者手术平均用时162.5 min(159~166 min)，此体位虽然医生对手术操作空间满意，但患者术后舒适度较低、手术时间长、术中更换体位时耗费过多人力和物资。2例全麻前安置改良截石位患者手术平均用时135.6 min(131~140.2 min)，此体位虽然手术时间有所缩短、术中不再更换体位、患者术后舒适度较高，但医生对手术操作空间满意度低。12例采用本文改进的截石位患者手术平均用时113.6 min(80~134 min)，此体位不仅医生对手术操作空间满意、患者术后舒适度高，而且缩短了手术时间、术中只调整体位不再更换体位。结论本文推荐的改进截石位，是外阴癌腹腔镜下腹股沟淋巴结清扫术中值得推广应用的体位。
目的探討外陰癌腹腔鏡下腹股溝淋巴結清掃術時的最佳手術體位。方法對外陰癌腹腔鏡下雙側腹股溝淋巴結清掃術中3種不同手術體位，對手術時間、醫生對手術操作空間滿意度、患者術後舒適度、術後切口感染率等方麵進行比較。結果2例安置傳統手術體位患者手術平均用時162.5 min(159~166 min)，此體位雖然醫生對手術操作空間滿意，但患者術後舒適度較低、手術時間長、術中更換體位時耗費過多人力和物資。2例全痳前安置改良截石位患者手術平均用時135.6 min(131~140.2 min)，此體位雖然手術時間有所縮短、術中不再更換體位、患者術後舒適度較高，但醫生對手術操作空間滿意度低。12例採用本文改進的截石位患者手術平均用時113.6 min(80~134 min)，此體位不僅醫生對手術操作空間滿意、患者術後舒適度高，而且縮短瞭手術時間、術中隻調整體位不再更換體位。結論本文推薦的改進截石位，是外陰癌腹腔鏡下腹股溝淋巴結清掃術中值得推廣應用的體位。
목적탐토외음암복강경하복고구림파결청소술시적최가수술체위。방법대외음암복강경하쌍측복고구림파결청소술중3충불동수술체위，대수술시간、의생대수술조작공간만의도、환자술후서괄도、술후절구감염솔등방면진행비교。결과2례안치전통수술체위환자수술평균용시162.5 min(159~166 min)，차체위수연의생대수술조작공간만의，단환자술후서괄도교저、수술시간장、술중경환체위시모비과다인력화물자。2례전마전안치개량절석위환자수술평균용시135.6 min(131~140.2 min)，차체위수연수술시간유소축단、술중불재경환체위、환자술후서괄도교고，단의생대수술조작공간만의도저。12례채용본문개진적절석위환자수술평균용시113.6 min(80~134 min)，차체위불부의생대수술조작공간만의、환자술후서괄도고，이차축단료수술시간、술중지조정체위불재경환체위。결론본문추천적개진절석위，시외음암복강경하복고구림파결청소술중치득추엄응용적체위。
Objective To explore a superior position of the patient in the laparoscopic inguinal lymphadenectomy of vulval carcinoma. Methods To compare three dif erent positions of these patients from various aspects, including the length of the operation time, the surgeon's feelings, the patients' feelings, and the infection rates after the operation, Results Two patients with the traditional position need 162.5 mins to finish the operation,. Although the surgeons feel good during the entire peocedure, more nursers and time should be provided. Two patients with the reorganized position before anesthesia need 135.6 mins total y. But it doesn't provide more conveniences for the doctors. 12 patients adopt our bladder lithotomy position.The mean operation time is 113.6mins, which is shorter than the other two groups.The surgeons and the patients feel good and there is no need to change the position during the operation.Conclusion The bladder lithotomy position referred in our paper is worthy of recommendation. in laparoscopic inguinal lymphadenectomy.
