CAJ | 학술논문

目的：探讨俯卧分腿位应用于经阴道子宫后壁肌瘤剔除术的安全性及优势。方法回顾性分析我院2013年3月至2015年1月应用俯卧分腿位及传统截石位实施的经阴道子宫后壁肌瘤剔除术患者的临床资料，根据手术体位分为A组30例(俯卧分腿位)及B组24例(传统截石位)。观察2组患者术中术野暴露情况、术者操作方便程度、体位摆放时间、手术时间、患者舒适度、配合度的情况以及手术时患者心率、血压、血氧饱和度的情况。结果俯卧分腿位体位摆放时间和手术时间与截石位相比显著缩短，术中患者配合良好，无明显不适，各项生命体征平稳，通气良好，术野暴露良好，操作比截石位更加方便。结论俯卧分腿位应用于经阴道子宫后壁肌瘤剔除术安全可行，具有优势。
목적：탐토부와분퇴위응용우경음도자궁후벽기류척제술적안전성급우세。방법회고성분석아원2013년3월지2015년1월응용부와분퇴위급전통절석위실시적경음도자궁후벽기류척제술환자적림상자료，근거수술체위분위A조30례(부와분퇴위)급B조24례(전통절석위)。관찰2조환자술중술야폭로정황、술자조작방편정도、체위파방시간、수술시간、환자서괄도、배합도적정황이급수술시환자심솔、혈압、혈양포화도적정황。결과부와분퇴위체위파방시간화수술시간여절석위상비현저축단，술중환자배합량호，무명현불괄，각항생명체정평은，통기량호，술야폭로량호，조작비절석위경가방편。결론부와분퇴위응용우경음도자궁후벽기류척제술안전가행，구유우세。
Objective To discuss the safety and advantages of prone-straddle position applied in transvaginal hysteromyomectomy of the posterior wall of the uterus. Methods The clinical data of patients who were admitted into our hospital from March 2013 to Janaury 2015 and received transvaginal hysteromyomectomy were retrospectively analyzed. They were divided into group A ( prone-straddle position, 30 cases) and group B (traditional lithotomy position,24 cases). The exposure of operative field, convenience of operation, time of the placement, time of operation, patient satisfaction, as well as patients’ heart rate, blood pressure, and oxyhemoglobin saturation were observed and ana-lyzed. Results Compared with the lithotomy position, there were significant differences in the time of the placement and the time of opera-tion in the patients treated by prone-straddle position. The patients with prone-straddle position cooperated well, and there was no obvious discomfort. Their vital signs were stable during the operation. The operative field during prone-straddle position exposed better and it was more convenient which make the operation became easier for both the operators and nurses. Conclusion Prone-straddle position applied in transvaginal hysteromyomectomy of the posterior wall of the uterus is safe and practicable, and it is valuable for clinical application.