改良手术截石位托腿架在手术中的应用

The application of knee cruth of modified lithotomy position in operation

目的探讨改良截石位托腿架在手术体位摆放中的应用,旨在比较对照组与实验组体位架优势。方法将38例截石位手术患者分成两组,对照组和实验组。每组各19例,对照组采用传统手术体位托腿架,实验组用改良手术托腿架。通过彩色多普勒测定,监测腘静脉直径、平均血流速度及血流量,术后了解下肢腓总神经损伤情况。结果对照组中腘静脉直径显著增大,与实验组比较差异有统计学意义(P<0.01),平均血流速度及血流量显著减少,与实验组比较差异也有统计学意义(P<0.01);术后下肢疼痛、麻木等不良反应显著高于实验组,差异有统计学意义(P<0.05)。结论实验组优于对照组,其优势在于有利于血液的回流,可改善因体位导致血液回流不畅,降低术后下肢深静脉血栓发生的风险,减少腓总神经损伤;同时减少了因操作不当引起的护理纠纷,确保了手术患者的生命安全。

Objective To explore the application of knee cruth of modified lithotomy position in operation and tbe predominance of modified position. Methods 38 patients were divided into control group and modified position group,with each group being composed of 19 patients. The patients in control group assumed traditional lithotomy position while those in modified position group with knee eruth of modified position. The diameter,average flow velocity, capacity of blood flow of popliteal vein were measured by color Doppler image,and the common peroneal nerve injury was examed after opration. Results The diameter of popliteal vein was obviously increased （P〈0. 01）, and the average flow velocity,capaclty of blood flow were markedly reduced in control group while the pain and anaesthe sia in lower extremities were obviously increased（P〈0.05）. Conclusion Modified position is profit to less risk of deep vein thrombosis after operation,and it could also reduce the injury of common peroneal nerve, decrease nursing dispule and ensure the safety of the patients.