A research on placement and management of two different positions during operation in patients with gynecological pelvic tumor

ZHANG Bin; FENG Jianping; ZHANG Qian; FU Shilong; HU Genhua

doi:10.7619/jcmp.20212451

Journal of Clinical Medicine in Practice > 2021 > 25(22): 31-34. > DOI: 10.7619/jcmp.20212451

ZHANG Bin, FENG Jianping, ZHANG Qian, FU Shilong, HU Genhua. A research on placement and management of two different positions during operation in patients with gynecological pelvic tumor[J]. Journal of Clinical Medicine in Practice, 2021, 25(22): 31-34. DOI: 10.7619/jcmp.20212451

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A research on placement and management of two different positions during operation in patients with gynecological pelvic tumor

1.
Operation Room, the First Affiliated Hospital of Nanjing Medical University, Jiangsu Provincial People's Hospital, Nanjing, Jiangsu, 210029
2.
Department of Gynecology, the First Affiliated Hospital of Nanjing Medical University, Jiangsu Provincial People's Hospital, Nanjing, Jiangsu, 210029

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Received Date: June 13, 2021
Available Online: December 03, 2021
Published Date: November 27, 2021

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Abstract

Abstract

Objective To investigate the effects of two different surgical positions in prevention of complications due to lithotomy position in patients with gynecological pelvic malignant tumor.
Methods A total of 84 patients with gynecological pelvic malignant tumor were randomly divided into experimental group and control group, with 42 cases in each group. The experimental group was treated with stirrup-shaped multifunctional leg frame, and the venous pressures of lower limbs at the time points of the supine position before surgery (T₀), immediately after the stabilization of lithotomy position (T₁), immediately after 1 h adjustment and stabilization of lithotomy position (T₂), immediately after 2 h adjustment and stabilization of lithotomy position (T₃), immediately after stabilization of the supine position at the end of surgery (T₄) as well as the bleeding volume, operation time and skin compression were recorded. The control group was treated by the traditional leg frame matched with the operating table, the height of the leg frame at the lithotomy position was not changed during the operation, and the relevant parameters at the corresponding time points were recorded.
Results There was no significant difference in venous pressure of lower limbs at T₀ between the two groups (P>0.05). Compared with T₀, venous pressure of lower limbs from T₁ to T₄ increased in both groups, but the increase range in the experimental group was significantly smaller and stability of venous pressure of lower limbs was better than those in the control group (P < 0.05). The incidence of stress injury in the experimental group was significantly lower than that in the control group (P < 0.05).
Conclusion For patients with lithotomy position and operation time longer than 2 h, the application of stirrup-shaped multifunctional leg frame and dynamic adjustment of body position during operation can reduce the impact on venous pressure of lower limbs, prevent deep venous thrombosis and reduce the incidence of pressure injury caused by lithotomy position.
- pelvic tumors,
- venous pressure of lower limbs,
- position,
- lithotomy position,
- pressure injury

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[1]	王曾妍, 高兴莲, 崔宇杨, 等. 手术体位对病人下肢静脉血流的影响[J]. 护理研究, 2021, 35(3): 511-513. https://www.cnki.com.cn/Article/CJFDTOTAL-SXHZ202103032.htm
[2]	LIU X X, WANG X H, MENG X H, et al. Effects of patient position on lower extremity venous pressure during different types of hysterectomy[J]. J Obstet Gynaecol Res, 2015. 41(1): 114-9. doi: 10.1111/jog.12489
[3]	Belnap L, Rodgers G M, Cottam D, et al. Portal vein thrombosis after laparoscopic sleeve gastrectomy: presentation and management[J]. Surg Obes Relat Dis, 2016, 12(10): 1787-1794. doi: 10.1016/j.soard.2016.03.005
[4]	贾桂萍, 张建华. 2016版压力性损伤指南在妇科腹腔镜截石位手术中的应用效果观察[J]. 护理研究, 2018, 32(8): 1294-1296. https://www.cnki.com.cn/Article/CJFDTOTAL-SXHZ201808035.htm
[5]	冯建萍, 张彬, 傅士龙, 等. 动态调节截石位对术中妇科盆腔肿瘤患者下肢血流动力学的影响[J]. 南京医科大学学报: 自然科学版, 2021, 41(2): 230-233. https://www.cnki.com.cn/Article/CJFDTOTAL-NJYK202102015.htm
[6]	卢明曼, 车兆平, 周媛. 调整手术床变换截石位角度在重度前列腺增生切除术中的应用[J]. 现代临床护理, 2016, 15(9): 33-35. doi: 10.3969/j.issn.1671-8283.2016.09.008
[7]	FENG J P, XIONG Y T, FAN Z Q, et al., Efficacy of intermittent pneumatic compression for venous thromboembolism prophylaxis in patients undergoing gynecologic surgery: A systematic review and meta-analysis[J]. Oncotarget, 2017, 8(12): 20371-20379. doi: 10.18632/oncotarget.13620
[8]	程勤, 王丽华, 王莉, 等. 重庆市5所三甲教学医院术中深静脉血栓护理现状调查[J]. 护理学杂志, 2017. 32(14): 40-42. doi: 10.3870/j.issn.1001-4152.2017.14.040
[9]	QU H, LI Z, ZHAI Z G, et al. Predicting of venous thromboembolism for patients undergoing gynecological surgery[J]. Medicine(Baltimore), 2015, 94(39): e1653. http://www.pubmedcentral.nih.gov/picrender.fcgi?artid=PMC4616862&blobtype=pdf
[10]	LI Z, ZHANG Z. The incidence and risk factors of venous thromboembolism following elective gynecological surgerieswithout systemic thromboprophylaxis: an observationalcohort study in a Chinese tertiary hospital[J]. Clin Exp Obstet Gynecol, 2016, 43(3): 365-369. http://smartsearch.nstl.gov.cn/paper_detail.html?id=1d3cd206142524a9430614de2d1fd6c9
[11]	林珮, 陈少红, 潘琴. 不同手术体位在腔镜下子宫切除术中的应用及效果研究[J]. 护士进修杂志, 2017, 32(12): 1140-1141. https://www.cnki.com.cn/Article/CJFDTOTAL-FSJX201712030.htm
[12]	陈旭慧, 范海霞. 截石位膝关节屈曲角度对下肢深静脉血流动力学的影响[J]. 护士进修杂志, 2018, 33(4): 348-350. https://www.cnki.com.cn/Article/CJFDTOTAL-FSJX201804017.htm
[13]	刘苗苗, 顾静. 基于发生风险列线图模型的护理干预在妇科腹腔镜术后DVT患者中的应用[J]. 中华现代护理杂志, 2019, 25(14): 1739-1745. doi: 10.3760/cma.j.issn.1674-2907.2019.14.006
[14]	李天华, 杨淑红, 窦晨浩, 等. 体位对下肢静脉血流动力学的影响[J]. 中华创伤骨科杂志, 2020, 22(10): 912-915. doi: 10.3760/cma.j.cn115530-20200417-00260
[15]	郎景和, 王辰, 瞿红, 等. 妇科手术后深静脉血栓形成及肺栓塞预防专家共识[J]. 中华妇产科杂志, 2017, 52(10): 649-653 doi: 10.3760/cma.j.issn.0529-567x.2017.10.001
[16]	鲁楠, 朱丽, 刘倩. 关节镜手术患者静脉血栓评估及预防措施的应用现状[J]. 中国运动医学杂志, 2020, 39(2): 152-157. doi: 10.3969/j.issn.1000-6710.2020.02.010
[17]	杨龙涛, 吴琼, 何丽梅, 等. 微创手术治疗卵巢囊肿患者术后下肢深静脉血栓形成的预防[J]. 血栓与止血学, 2019, 25(2): 207-209. doi: 10.3969/j.issn.1009-6213.2019.02.009
[18]	张哲, 吕浩, 谢倩. 马镫形腿架在腔镜下子宫内膜癌根治术的应用研究[J]. 河北医科大学学报, 2016, 37(2): 219-221. doi: 10.3969/j.issn.1007-3205.2016.02.027

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