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目的:探讨改良截石位在妇科腹腔镜手术术中的应用效果。方法:选取2011年3月～2012年5月在我院行妇科腹腔镜手术的患者126例,按入院单双日随机分为两组,每组各63例,观察组取改良截石位手术治疗;对照组采取传统截石位手术治疗。结果:观察组患者各种腹腔镜手术时间均明显短于对照组(P<0.01);术中出血量明显少于对照组(P>0.05);术后24 h并发症发生率明显高于对照组(P<0.05);舒适度明显优于对照组(P<0.05)。结论:改良腹腔镜截石位手术可扩大手术视野、缩短手术时间、提高了患者的舒适度,减少了术后并发症的发生;同时,改良腹腔镜截石位手术可以较容易地控制患者的循环系统和呼吸功能,提高患者的安全性,值得临床广泛推广和应用。
Objective: To explore the effect of modified lithotomy in gynecological laparoscopic surgery. Methods: 126 cases of gynecological laparoscopic surgery in our hospital from March 2011 to May 2012 were randomly divided into two groups according to hospital admission day and double day, with 63 cases in each group. The observation group received modified lithotomy The control group was treated by traditional lithotomy. Results: The laparoscopic operation time in the observation group was significantly shorter than that in the control group (P <0.01); the bleeding volume in the observation group was significantly less than that in the control group (P> 0.05); the incidence of complications at 24 hours after operation was significantly higher than that of the control group Group (P <0.05); comfort was significantly better than the control group (P <0.05). Conclusion: Improved laparoscopic lithotomy can expand the operative field, shorten the operation time, improve patient comfort and reduce postoperative complications. Meanwhile, modified laparoscopic lithotomy can easily control the patients’ Circulatory system and respiratory function, improve patient safety, it is worth widely clinical application.