中华灾害救援医学2024,Vol.11Issue(6) :638-640,648.DOI:10.13919/j.issn.2095-6274.ZHJY202405029

改良人字分腿仰卧位在全乳晕入路腔镜甲状腺手术中的应用效果

Efficacy of the Modified Groin-Splitting Supine Position in Endoscopic Thyroid Surgery via the Areolar Approach

张玲玲 邱淑华 翁燕萍
中华灾害救援医学2024,Vol.11Issue(6) :638-640,648.DOI:10.13919/j.issn.2095-6274.ZHJY202405029

改良人字分腿仰卧位在全乳晕入路腔镜甲状腺手术中的应用效果

Efficacy of the Modified Groin-Splitting Supine Position in Endoscopic Thyroid Surgery via the Areolar Approach

张玲玲 1邱淑华 1翁燕萍1
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作者信息

  • 1. 366000 福建三明,三明市第二医院手术室
  • 折叠

摘要

目的 分析改良人字分腿仰卧位在全乳晕入路腔镜甲状腺手术中的应用效果.方法 选取2021年1月至2022年12月三明市第二医院收治的全乳晕入路腔镜甲状腺手术患者150例,按照随机数字表法分为两组,每组各75例,对照组采用传统人字分腿仰卧位,观察组采用改良人字分腿仰卧位,对比两组患者手术体位应用的效果及满意度.结果 观察组轻度不适为82.67%,中度不适为14.67%,重度不适为2.67%(P值均<0.001),观察组术后舒适度与对照组比较,差异有统计学意义;观察组患者术后卧床时间、住院时间也均比对照组短(P值均<0.05);观察组与对照组并发症发生率分别为16.00%和34.67%,差异有统计学意义(P<0.05);观察组与对照组总满意度分别为97.33%和77.33%,两组满意度对比,差异有统计学意义(P<0.05);观察组医生主观感觉疲劳评分与对照组对比,差异有统计学意义(P<0.05).结论 在全乳晕入路腔镜甲状腺手术中应用改良人字分腿仰卧位,可以提高患者舒适度,降低患者并发症发生率,缩短患者恢复时间,减轻医生疲劳程度,为全乳晕入路腔镜甲状腺手术体位调整提供更多的参考依据.

Abstract

Objective To analyze the application effect of modified V-shaped supine position in total areolar approach endoscopic thyroid surgery.Methods 150 patients who underwent total areolar approach endoscopic thyroid surgery in the Second Hospital of Sanming City from January 2021 to December 2022 were selected and divided into two groups by random drawing,with 75 cases in each group.The control group was placed in the tra-ditional V-shaped supine position,and the observation group was placed in the modified V-shaped supine position.The effects and satisfaction of the surgical position applied in the two groups were compared.Results In the observation group,82.67%experienced mild discomfort,14.67%experienced moderate discomfort,and 2.67%experienced severe discomfort.There was a statistically significant difference in postoperative comfort between the observation group and the control group(all,P<0.001);the observation group had shorter postoperative bed rest time and hospital stay than those of the control group(all,P<0.05);the incidence of complications in the observa-tion group and the control group were 16.00%and 34.67%respectively,with a statistically significant difference(P<0.05);the overall satisfaction rates in the observation group and the control group were 97.33%and 77.33%respectively,with a statistically significant difference(P<0.05);the subjective fatigue scores of doctors in the obser-vation group were significantly lower than those in the control group(P<0.05).Conclusion The use of modified V-shaped supine position in total areolar approach endoscopic thyroid surgery can improve patient comfort,reduce the incidence of complications,shorten patient recovery time,and alleviate doctor fatigue,providing more reference for adjusting the surgical position in total areolar approach endoscopic thyroid surgery.

关键词

仰卧位/甲状腺/手术后并发症

Key words

supine position/thyroid gland/post-operative complications

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基金项目

福建中医药大学2022年度校管临床专项课题(XB2022174)

出版年

2024
中华灾害救援医学

中华灾害救援医学

影响因子:0.796
ISSN:
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