腹腔镜下应用PK刀行子宫次全切除术的配合

Cooperation in Laparoscopic Operation of Subtotal Hysterectomy with PK Scapel

目的:探讨在腹腔镜下使用PK刀行子宫次全切除术配合的方法。方法:对97例使用PK刀在腹腔镜下行子宫次全切除术配合进行总结,主要是检查测试仪器功能,按操作程序密切配合手术,术后正确彻底的清洗、保养、消毒与灭菌。结果:在腹腔镜下应用PK刀切除子宫,出血量明显减少,组织损伤小,97例的手术中除1例粘连严重中转开腹外,其余手术均顺利完成,无并发症发生。结论:护士加强对PK刀的应用学习,正确掌握操作规程和灭菌方法,以及娴熟的腹腔镜配合技术是手术顺利进行的有力保证。

Objective To explore the best method of nursing in laparoscopic operation of subtotal hysterectomy with PK scapel. Methods Ninety-seven patients under going operation of laparoscopic subtotal hysterectomy （LOSH） with PK scapel were slected. The bleeding volume,operation time and methods of nursing including machine-check,proceeding and maintenance of instruments. Results Bleeding volume was lessened significantly and good nursing during operation can improve safety and success rate of LOSH. Conclusion Good nursing with well knowledge of PK scapel,accurate proceeding and sterilization and skilled cooperation plays a key role in assurance of the success of LOSH.