泌尿外科手术体位摆放方法的改良及术后并发症的研究

The study on the modifying the lateral position in urinary surgery and complication

目的探讨泌尿外科侧卧手术体位的安置方法，以降低因手术体位引起神经损伤及皮肤压疮等并发症的发生。方法选择泌尿外科侧卧位手术患者348例，149例为传统组，按传统方法安置侧卧位，另外199例为改良组，按改良的方法安置侧卧位，术后比较两组患者神经损伤及皮肤压疮发生情况。结果传统组出现2例皮肤水疱，5例皮肤潮红，1例健侧眼睑水肿。改良组1例因手术体位而致皮肤潮红，两组比较，差异有显著性（P〈0．05）。结论改良的侧卧手术体位方法优于传统侧卧手术体位方法，可减少因手术体位引起的神经损伤及皮肤压疮等并发症的发生。

Objective To decrease the complications which include the injury of nerve and cutaneous ulcer by modifying the lateral position in urinary surgery. Methods 348 patients who underwent urological surgeries in a lateral position were selected. One group including 149 cases were placed in a traditional lateral position, while the other group including 199 cases in a modified lateral position. The rates of nerve injury and cutaneous ulcer between the two groups were compared postoperatively. Results 2 cases of cutaneous bubble, 5 cases of erubescence, 1 case of eyebrown edema occurred in the traditional group; but the modified group had 1 case of erubescence occurred （ P 〈 0. 05） . Conclusion The modified lateral position which can decrease the complications is more superior than the traditional way.