【摘要】 目的探讨改良截石位在妇科腹腔镜手术中的应用效果。方法将146例妇科腹腔镜手术患者随机分为对照组和改良组各73例,对照组采用常规截石体位,将托腿架关节端置于腘窝处,托腿板支托患者大腿。改良组采用改良截石位,即将托腿架按患者仰卧屈髋高度固定于手术床上,托腿板支托小腿肌肉丰满处且使膝关节以上和腹部近于水平位。观察两组手术时间、术后24h并发症发生率及首次下床活动时间。结果改良组手术时间较对照组显著缩短(P<0.01),术后24h并发症发生率较对照组显著降低(P<0.05,P<0.01),首次下床活动时间显著早于对照组(P<0.01)。结论改良截石位能为妇科腹腔镜手术患者提供良好的手术环境,有效预防术后并发症,提高腹腔镜手术安全性和有效性。更多还原

【Abstract】 Objective To examine the results of a modified lithotomy position in gynecological laparoscopic surgery. Methods A total of 146 patients were randomly divided into a control group and a modified position group. The patients in the control group assumed traditional lithotomy position, with the popliteal fossa on knee crutch, and tight on a leg-rest. In the modified position group, the knee crutch was fixed on the operation table to suit the patient when the patient assumed supine position and bent the knees and the leg-rest supported the fleshy part of the leg, with the top of the knee joint at the same level with abdomen. The operation time, complications within 24 h after operation and the time of out-of-bed activity were observed in the two groups.Results In the modified position group, the operation time was significantly shorter than that in the control group (P<0.01), the complications within 24 h after operation were significant lower (P<0.05,P<0.01) and the out-of-bed activity took place significantly earlier (P<0.01). Conclusion The modified lithotomy position can facilitate gynecological laparoscopic operation, effectively prevent postoperative complications and improve the safety and effectiveness of the operation.更多还原