摘要
目的探讨免气腹妇科腹腔镜置入第1套管针方法的安全性及可行性。方法383例腹腔镜手术采用两种第1穿刺方法进入腹腔。研究组280例,切开脐孔皮肤、皮下脂肪及筋膜,套管针直接穿刺置入;对照组103例,气腹形成后进行套管针穿刺置入。结果研究组从切开皮肤到气腹形成、腹腔压力达15mmHg,置入腹腔镜最短时间1min,最长时间9min,平均(1.74±0.859)min;对照组最短时间5min,最长时间11min,平均(7.33±1.375)min。两组比较差异有显著性(P<0.01),两组均无血管、器官损伤并发症。结论免气腹套管针直接穿刺置入方法,减少了气腹针穿刺充气这一操作步骤,可以避免气腹针穿刺不当引起的并发症,能够迅速进入腹腔实施手术,值得推广应用。
[Objective] To evaluate the safety and feasibility of the method of first Trocar insertion. [Methods] Two hundred and eighty three cases of laparoscopic surgeries were divided into two groups. Study group： 280 cases which Trocar insertion is gasless. Control group： 103 cases which Trocar insertion is after the pnumoperitonium formation. [Results] For study group the operating time from skin incision to laparoscopy insertion was （1.74±0.859） min （1-9min）. For control group the mean operating time from skin incision to laparoscopy insertion was （7.33± 1.375） min （5±11 min）, P 〈0.01. There is no vessel or visera injury in both groups. [Conclusion] Gasless first Trocar insertion methods for gynecological laparoscopy reduces the procedure of Veress needle insertion and pnumoperitonium formation and provides the complication result in inappropriate Veress needle puncture. It is a effective method to insertion laparoscopy into peritoniun cavity. This method is needed to be promoted.
出处
《中国内镜杂志》
CSCD
北大核心
2007年第4期388-390,共3页
China Journal of Endoscopy
关键词
妇科手术
腹腔镜
穿刺术
gynecological procedures
laparoscopy
puncture
