比较悬吊式与气腹式腹腔镜在妇科手术的护理配合

Comparison of nursing in abdominal wall lifting laparoscopy and CO_2-insufflated Pneumoperitoneum in GynecologicalSurgery

目的:通过悬吊式腹腔镜和气腹式腹腔镜在妇科手术中护理配合比较,探讨其优缺点。方法:总结40例妇科良性肿瘤在两种腹腔镜下护理配合比较。结果:气腹式腹腔镜手术平均时间2.25小时,麻醉并发症3例,皮下气肿6例,主诉肩胛疼痛5例,漏尿1例。悬吊式腹腔镜手术平均时间1.53小时,无麻醉并发症,无皮下气肿,无漏尿。结论:在妇科良性包块手术中,悬吊式比气腹式腹腔镜术中术后并发症少,视野清晰,器械使用更符合原理。

Objective：To investigate the advantages and disadvantages through suspensory laparoscope and pneumoperitoneum laparoscope in nursing cooperation compare of gynecology operations.Methods： Summarize the nursing cooperation compare of 40 cases gynecological benign tumor through two laparoscopes.Results：The average time of pneumoperitoneum laparoscope operations is 2.25 hours,3 cases of anesthesia complications,6 cases of subcutaneous emphysema,5 cases complained of the pain of scapular area,1 case of leakage urine.The average time of suspensory laparoscope operations is 1.53 hours,without anesthesia complications,subcutaneous emphysema and leak of urine.Conclusion：During the operation of gynecology benign lumps,the postoperative complications of suspensory laparoscope is less than that of pneumoperitoneum laparoscope.The suspensory laparoscope has advantages of clear operational field and the Instruments are used more principled.