中国医学装备2024,Vol.21Issue(10) :198-201.DOI:10.3969/j.issn.1672-8270.2024.10.036

腔镜手术冲洗废液收集装置的研制及应用

Development and application of laparoscopic surgical flushing waste collection device

戈旭伟 吴小芳 李紫芬 蔡芳珍
中国医学装备2024,Vol.21Issue(10) :198-201.DOI:10.3969/j.issn.1672-8270.2024.10.036

腔镜手术冲洗废液收集装置的研制及应用

Development and application of laparoscopic surgical flushing waste collection device

戈旭伟 1吴小芳 2李紫芬 3蔡芳珍2
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作者信息

  • 1. 海南医科大学第二附属医院乳甲外科 海口 571199
  • 2. 海南医科大学第二附属医院手术室 海口 571199
  • 3. 海南医科大学第二附属医院胃肠肿瘤外科 海口 571199
  • 折叠

摘要

目的:研制一种腔镜手术冲洗废液收集装置,用于收集泌尿腔镜手术中使用冲洗液时产生的大量废液.方法:腔镜手术冲洗废液收集装置的结构包括升降机构、废液收集器及废液排出器.可通过改变升降机构高度调节废液收集器的高度,适应患者体位及手术医生需要术中产生的废液可经收集槽引至废液收集箱内,再由排出管引出至非手术操作区域的容器.选取2022年6-12月于海南医科大学第二附属医院手术室行经尿道前列腺电切术的80例患者,采用随机数表法将其分为观察组和对照组,每组40例.观察组采用下端开口的脑科保护膜,结合腔镜手术冲洗废液收集装置收集废液及标本;对照组采用传统方法,脑科保护膜下端打结开孔收集标本,使用普通水桶收集废液,比较两组术中冲洗液污染地面环境发生率和废液引出手术区域操作用时,计算术中标本收集率.结果:观察组术中冲洗废液溢出污染地面环境总发生率为7.5%,明显低于对照组(27.5%),差异有统计学意义(x2=6.135,P<0.05);观察组操作用时优于对照组,差异有统计学意义(t=7.966,P<0.001);观察组手术标本收集率高于对照组,差异有统计学意义(x2=6.135,P<0.05).结论:腔镜手术废液收集装置可满足手术废液收集要求,操作简单,节时省力,能够降低手术间地面环境污染,提高手术标本收集率.

Abstract

Objective:To develop a laparoscopic surgery flushing waste liquid collection device,to collect a large amount of waste liquid generated when flushing fluid was used in urological laparoscopic surgery.Methods:The structure of the laparoscopic surgical flushing waste collection device was composed of a lifting mechanism,a liquid waste collector and a liquid waste discharger.The height of the waste liquid collector can be adjusted by changing the height of the lifting mechanism to suit the body position of the patient and the needs of the surgeon.The waste liquid generated during the operation can be led to the waste liquid collection tank through the collection trough,and then the waste liquid is discharged to the non-operative area container through the discharge tube.A total of 80 patients who underwent transurethral resection of prostate in the operating room of The Second Affiliated Hospital of Hainan Medical University from June 2022 to December 2022 were selected and divided into observation group and control group by random number table method,with 40 cases in each group.In the observation group,a brain protective film with an open bottom was used to collect the waste fluid and specimens in combination with the laparoscopic surgical flushing waste collection device.In the control group,samples were collected by knotting and perforating the lower end of brain protective membrane and waste fluid was collected by ordinary bucket.The incidence of intraoperative flushing fluid contamination of the ground environment and the time taken for waste fluid to be drawn out of the surgical area were compared between the two groups,and the intraoperative specimen collection rate was calculated.Results:The total incidence of overflow of flushing waste fluid and contamination of the ground environment in the observation group was 7.5%,which was significantly lower than that of the control group(27.5%),the difference was statistically significant(x2=6.135,P<0.05).The operation time of observation group was better than that of control group,the difference was statistically significant(t=7.966,P<0.001).The collection rate of surgical specimens in the observation group was higher than that in the control group,the difference was statistically significant(x2=6.135,P<0.05).Conclusion:The laparoscopic surgery waste liquid collection device can meet the requirements of surgical waste liquid collection,which simple to operate,time-saving and labor-saving,can reduce the environmental pollution of the surgical ground,and improve the collection rate of surgical specimens.

关键词

腔镜/废液收集/研制/前列腺

Key words

Laparoscopy/Liquid waste collection/Research and development/Prostate

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基金项目

海南省临床医学中心建设项目(琼卫医[2022]33号)

海南医科大学第二附属医院院级新技术(HYEY-2020H10)

出版年

2024
中国医学装备
中国医学装备协会

中国医学装备

CSTPCD
影响因子:0.882
ISSN:1672-8270
参考文献量15
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