CAJ | 학술논문

目的：研究改良截石位对妇科腹腔镜手术术后深静脉血栓形成（DVT）的影响。方法对2010年3月至2013年3月在我院妇科进行腹腔镜手术、手术时间＞2h的患者进行对比研究，分析年龄，手术方式，手术时间，失血量等因素对DVT发生的影响。结果传统截石位行妇科腹腔镜手术术后DVT的发生率为8.1%，而改良截石位为2.5%，二者相比有统计学显著差异。另外，年龄＞50岁、手术时间＞3h亦与DVT发生高度相关；而手术方式、失血量等因素与DVT发生无关。结论改良截石位可以有效降低妇科腹腔镜手术术后DVT的发生。
목적：연구개량절석위대부과복강경수술술후심정맥혈전형성（DVT）적영향。방법대2010년3월지2013년3월재아원부과진행복강경수술、수술시간＞2h적환자진행대비연구，분석년령，수술방식，수술시간，실혈량등인소대DVT발생적영향。결과전통절석위행부과복강경수술술후DVT적발생솔위8.1%，이개량절석위위2.5%，이자상비유통계학현저차이。령외，년령＞50세、수술시간＞3h역여DVT발생고도상관；이수술방식、실혈량등인소여DVT발생무관。결론개량절석위가이유효강저부과복강경수술술후DVT적발생。
Objective?Study?the?effect?of?improved?lithotomy?position?in?laparoscope?operation?of??gynecology?on?deep?vein?thrombosis(DVT).?Method?We?take?a?retrospective?study?on?the?patients?performed?laparoscope?operation?of?gynecology?with?operation?time?larger?than?2?hours?in?our?hospital?from?Mar?2010?to?Mar?2013,?and?analyze?the?effects?of?age,?operative?method,?operative?time,?the?amount?of?losing?blood?on?the?occurrence?of?DVT.?Results?The?incidence?rate?of?DVT?in?the?laparoscopic?operation?of?gynecology?using?traditional?lithotomy?position?was?8.1%,?and?improved?position?was?2.5%,?there?was?a?statistically?difference?between?them.?In?addition,?age?older?than?50?years?and?operation?time?larger?than?3?hours?are?two?independent?risk?factors?associated?with?DVT.?Conclusions?The?improved?method?for?lithotomy?position?can?reduce?the?incidence?rate?of?DVT?in?the?laparoscopic?operation?of?gynecology.