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目的比较不同手术体位在腹腔镜下子宫切除术中的应用效果。方法将200例腹腔镜下子宫切除术患者随机分为观察组和对照组,每组各100例,其中观察组为人字型体位,对照组为传统腔镜截石位。观察两组体位对患者下肢静脉血流及循环系统的影响,患者下肢舒适度;医生手术视野暴露情况及护士体位安置所需时间。结果观察组手术前后下肢静脉血流速度及下肢舒适度高于对照组,循环系统波动小于对照组,手术体位安置时间明显少于对照组,差异均有统计学意义(P<0.05);观察组与对照组手术视野暴露均良好,差异无统计学意义(P>0.05)。结论人字型体位既能保证手术视野暴露良好,缩短体位安置时间、降低对患者循环系统的影响、提高患者下肢舒适度,从而简化术前护士工作、提高手术效率,值得临床推广。
Objective To compare the effect of different surgical positions in laparoscopic hysterectomy. Methods 200 cases of laparoscopic hysterectomy patients were randomly divided into observation group and control group, each group of 100 cases, the observation group was the herringbone position, the control group was the traditional endoscopic lithotomy. Observe the two groups of position on the patient’s lower extremity venous flow and circulatory system, the patient’s lower limb comfort; the doctor’s surgical field of vision exposure and the time required for nurses position. Results Before and after operation, venous blood flow velocity and lower extremity comfort of the observation group were higher than that of the control group. Fluctuation of the circulatory system was less than that of the control group. The placement time of the operation group was less than that of the control group (P <0.05) There was no significant difference between the control group and the control group (P> 0.05). Conclusion The herringbone position can not only ensure that the surgical field of vision is well exposed, but also shorten the placement time, reduce the impact on the circulatory system and improve the comfort of the lower limbs of patients, thus simplifying the work of preoperative nurses and improving the operation efficiency.