局解手术学杂志2025，Vol.34Issue(4)：350-353,4.DOI:10.11659/jjssx.05E024120
手术贴膜配合方巾改良贴法在骨科单侧双通道脊柱内镜术中的应用
Application of surgical adhesive membrane combined with modified towel placement method in orthopaedic unilateral biportal endoscopy operation
摘要
Abstract
Objective To observe the application effect of surgical adhesive membrane combined with modified towel placement method in patients undergoing orthopedic unilateral biportal endoscopy(UBE)operation.Methods A total of 61 patients who underwent orthopedic UBE operation in our hospital from December 2022 to September 2023 were selected and divided into the control group(31 cases,conventional surgical adhesive membrane and towel placement)and the observation group(30 cases,surgical adhesive membrane combined with modified towel placement method)according to different placement methods of membrane and towel during operation.The degree of wetting in the surgical area,vital signs,intraoperative adverse events,postoperative incision infection rate and patients'satisfaction were compared between the two groups.Results The proportions of wet sterile sheets around the surgical area and moist skin of patients in the observation group were lower than those in the control group(P<0.05).The saturation of peripheral oxygen(SpO2),heart rate(HR),mean arterial pressure(MAP)at spinal canal decompression and the end of the operation of patients in the observation group were significantly better than those in the control group(P<0.05).No postoperative incision infection occurred in the two groups,and there was no statistically significant difference in the total incidence of adverse events between the two groups(P>0.05).The patients'satisfaction in the observation group was significantly higher than that in the control group(P<0.05).Conclusion Surgical adhesive membrane combined with modified towel placement method can reduce the degree of wetting in the surgical area during orthopedic UBE operation,stabilize the patients'vital signs,and improve patients'satisfaction.关键词
手术贴膜/铺巾/单侧双通道脊柱内镜/改良贴法/不良事件/感染Key words
surgical adhesive membrane/towel placement/unilateral biportal endoscopy/modified placement method/adverse event/infection分类
医药卫生引用本文复制引用
王海凤,江渟,张珊珊..手术贴膜配合方巾改良贴法在骨科单侧双通道脊柱内镜术中的应用[J].局解手术学杂志,2025,34(4):350-353,4.基金项目
安徽省高校重大科学研究项目(2023AH040109) （2023AH040109）
