实用医学杂志 ›› 2021, Vol. 37 ›› Issue (1): 110-114.doi: 10.3969/j.issn.1006⁃5725.2021.01.023

• 临床护理 • 上一篇    下一篇

“望月式”体位在腔镜乳腺癌手术中的应用

谭峰,朱燕雯,罗云峰,许敬萍,张普生   

  1. 南方医科大学珠江医院1 麻醉科,2 乳腺外科(广州 510282)
  • 出版日期:2021-01-10 发布日期:2021-01-10
  • 通讯作者: 张普生 E⁃mail:drpushengz@163.com
  • 基金资助:
    广东省医学科学技术研究基金项目(编号:B2018128)

Application of position of“looking at the moon”in endoscopic surgery for breast cancer

TAN Feng,ZHU Yanwen,LUO Yunfeng,XU Jingping,ZHANG Pusheng
  

  1. Department of Anesthesiology,Zhujiang Hospital,Southern Medical University,Guangzhou 510282,China
  • Online:2021-01-10 Published:2021-01-10
  • Contact: ZHANG Pusheng E⁃mail:drpushengz@163.com

摘要:

目的 探讨腔镜乳腺癌手术“望月式”体位的临床应用效果。方法 选取 283 例腔镜乳腺癌 手术患者,观察组采用通过测量体位相关数据设计的“望月式”体位(142 例),对照组采用术侧肩背部垫高 仰卧位(141 例),比较两组体位摆放指标、围手术期特征、患者舒适度和医生满意度。结果 283 例患者均 成功完成腔镜乳腺癌手术,无中转开放手术病例;观察组体位摆放耗时、手术时间、术后并发症及医生满 意度评价显著优于对照组(P < 0.05)。结论 “望月式”体位应用于腔镜乳腺癌手术,可提高体位摆放效 率,降低体位相关并发症,有效暴露术野,缩短手术时间,有临床推广的价值。

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Abstract:

Objective To study the clinical application of the position,named“looking at the moon”,in laparoscopic axillary surgery in breast cancer. Methods A total of 283 patients undergoing laparoscopic axillary surgery for breast cancer in our hospital were selected. The observation group adopted the position of“looking at the moon”(142 cases),which was designed through relevant data. In the control group,the supine position that shoulder and back were higher on the operative side was adopted in 141 patients. The indexes of position placement,perioperative characteristics,patient comfort and doctor satisfaction were compared between the two groups. Results All patients completed laparoscopic axillary surgery for breast cancer successfully,without trans⁃ ferring to open surgery. It took less time in the observation group than in the control group in time⁃consuming of position placement. Moreover,there was shorter operation time,less postoperative complications but higher doctor satisfaction(P < 0.05). Conclusion The application of the position“looking at the moon”in laparoscopic axillary surgery for breast cancer can improve the efficiency and reduce complications,which not only expose operative field effectively ,but also shorten the time of operation.

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