改良截石位在妇科腹腔镜全子宫切除术中的应用效果

Application effect of modified lithotomy position in gynecologic laparoscopic total hysterectomy

目的分析改良截石位在妇科腹腔镜全子宫切除术中的应用效果。方法选择2017年4月至2018年4月在我院行腔镜下全子宫切除术的患者80例,将其随机分为研究组和对照组,每组40例。对照组采用传统常规截石位,研究组采用改良截石位摆放。比较两组患者术后舒适度等级分布、并发症发生率、患者满意度及医生对手术视野暴露满意度。结果研究组患者术后舒适度等级分布、并发症总发生率、患者满意度及手术医生对手术视野满意度均显著优于对照组,差异有统计学意义(P<0.05)。结论改良截石位能显著减少腹腔镜下全子宫切除术后体位并发症的发生,提高患者舒适度和满意度,值得临床推广应用。

Objective To analyze the application effect of modified lithotomy position in gynecologic laparoscopic totalhysterectomy. Methods From April 2017 to April 2018, 80 cases of patients underwent laparoscopic total hysterectomy inour hospital were randomly divided into study group and control group, with 40 cases in each group. The control group wasgiven conventional lithotomy position, while the study group was given modified lithotomy position. The grade distributionof postoperative comfort degree, incidences of complications, patients＇ satisfaction and doctor＇s satisfaction with surgicalvisual field exposure were compared between the two groups. Results The grade distribution of postoperative comfortdegree, total incidence of complications, patients＇ satisfaction and doctor＇s satisfaction with surgical visual field exposure inthe study group were significantly better than those of the control group （P〈0.05）. Conclusion The modified lithotomyposition can significantly reduce the occurrence of postural complications after laparoscopic hysterectomy and improvepatients＇ comfort degree and satisfaction, and it is worthy of clinical application.