俯卧分腿位在经阴道子宫后壁肌瘤剔除术中的应用

Application of prone-straddle position for transvaginal hysteromyomectomy in the posterior wall of the uterus

目的探讨俯卧分腿位应用于经阴道子宫后壁肌瘤剔除术的安全性及优势。方法回顾性分析我院2013年3月至2015年1月应用俯卧分腿位及传统截石位实施的经阴道子宫后壁肌瘤剔除术患者的临床资料,根据手术体位分为A组30例(俯卧分腿位)及B组24例(传统截石位)。观察2组患者术中术野暴露情况、术者操作方便程度、体位摆放时间、手术时间、患者舒适度、配合度的情况以及手术时患者心率、血压、血氧饱和度的情况。结果俯卧分腿位体位摆放时间和手术时间与截石位相比显著缩短,术中患者配合良好,无明显不适,各项生命体征平稳,通气良好,术野暴露良好,操作比截石位更加方便。结论俯卧分腿位应用于经阴道子宫后壁肌瘤剔除术安全可行,具有优势。

Objective To discuss the safety and advantages of prone-straddle position applied in transvaginal hysteromyomectomy of the posterior wall of the uterus. Methods The clinical data of patients who were admitted into our hospital from March 2013 to Janaury 2015 and received transvaginal hysteromyomectomy were retrospectively analyzed. They were divided into group A（ prone-straddle position,30 cases）and group B（ traditional lithotomy position,24 cases）. The exposure of operative field,convenience of operation,time of the placement,time of operation,patient satisfaction,as well as patients＇ heart rate,blood pressure,and oxyhemoglobin saturation were observed and analyzed. Results Compared with the lithotomy position,there were significant differences in the time of the placement and the time of operation in the patients treated by prone-straddle position. The patients with prone-straddle position cooperated well,and there was no obvious discomfort. Their vital signs were stable during the operation. The operative field during prone-straddle position exposed better and it was more convenient which make the operation became easier for both the operators and nurses. Conclusion Prone-straddle position applied in transvaginal hysteromyomectomy of the posterior wall of the uterus is safe and practicable,and it is valuable for clinical application.