腹腔镜手术腹腔引流管不同放置方法的研究.docVIP

精品论文 参考文献 腹腔镜手术腹腔引流管不同放置方法的研究 陈飞云 舒思远 张正伟 杨佳全 （广东省深圳市盐田区盐港医院外二科 518083） 　　【摘要】目的: 探讨腹腔镜手术中腹腔引流管放置技巧。方法：选取需要放置腹腔引流管的病例，采用三种不同腹腔引流管放置方法，即：1、引流管直接从戳卡中置入法；2、拔除戳卡，直接以普通弯钳钳夹从戳孔中置入；3、腔镜手术钳从A戳卡置入，在B戳卡的引导下，由腹内向腹外从B戳卡穿出，退出B戳卡，用腔镜手术钳钳夹引流管由外向内拖至腹腔内置入（附注：1、2方法的戳卡位置及3方法的B戳卡位置均为腹腔引流管位置）。采用SNK-q检验比较不同放置方法所费的时间。 结果：第三种方法所费时间最少，优于前两种方法。 结论：第三种方法是一种简便的新方法，在临床中可以大力推广。 　　【关键词】腹腔镜手术 腹腔引流管 放置方法 　　【中图分类号】R656 【文献标识码】A 【文章编号】1672-5085（2014）02-0063-02 　　The study on different methods of abdominal cavity 　　 drainage tube,s placement in laparoscopic operation 　　CHEN Fei-yun, SHU Si-yuan, ZHANG Zheng-wei, et al.The Second Department of Surgery, Yan Gang Hospital, Shenzhen 518083, China 　　【Abstract】 Objective：Discuss the placement techniques of abdominal cavity drainage tube in laparoscopic operation. Methods: Select the cases of abdominal cavity drainage tube,s placement and use three placement methords of abdominal cavity drainage tube in laparoscopic operation.The three methords :1.The drainage tube can be placed from trocars; 2.Removal of trocars, place abdominal cavity drainage tube from the stamp hole with ordinary curved forceps; 3. Under the guidance of B trocars,the laparoscopic forceps is placed into from A trocars and out of from B trocars. Exit the B trocars and place the drainage tube from outsid to inside with the laparoscopic forceps(NOTE:The trocars, location in the first two methods and the B trocars in the third method are the abdominal cavity drainage tube,s position). Compare the time of three methods with SNK-q test. Results：The time of a third method is the least. There is statistical significance with the first two methods. Conclusion: The third is a new method for the most convenient, can be popularized in the actual operation process. 　　【Key words】 Laparoscopic operation Abdominal cavity drainage tube Placement method 　　腹腔引流是外科最常用、最重要的基本技术之一[1]。在腹腔镜手术中，腹腔引流管放置较为多见。目前，最常用有两种方法：(1)、引流管直接从戳卡中置入（甲法）