摘要
目的 探讨悬吊免气腹经脐单孔腹腔镜手术在治疗心肺功能异常的卵巢良性肿瘤患者中的应用价值。方法 回顾性分析2018年9月1日至2021年8月31日收住于宁夏回族自治区人民医院妇科，主要诊断为“卵巢良性肿瘤”，且合并心肺功能异常，由麻醉医师进行麻醉前评估为不适宜进行全身麻醉，最终于腰麻下完成“悬吊免气腹经脐单孔腹腔镜下卵巢肿瘤剥除术”的60例病例资料进行研究。统计：在患者麻醉开始前(T1)、悬吊装置建立后30min(T2)、术毕悬吊装置撤除后10min(T3)时监测心率（HR）、呼吸频率（RR）、收缩压(SBP)、舒张压(DBP)、血氧饱和度（SpO2），并分别在T1，T2，T3时抽取动脉血监测血气，记录动脉血氧分压（PaO2）、动脉血CO2分压（PaCO2）、PH值、HCO3-值。结果 所有病例均顺利完成手术，手术中均未损伤周围脏器，均未由于各种原因中转气腹腹腔镜、多孔腹腔镜或开腹手术，且均未更换麻醉方式。所有病例在T1、T2、T3时HR、RR、SBP、DBP、SpO2以及动脉血气中PaO2、PaCO2、PH值、HCO3-值比较均无统计学差异（P>0.05）。结论 悬吊免气腹经脐单孔腹腔镜用于卵巢良性肿瘤剥除术安全、可行，尤其对于心肺功能异常、无法耐受全身麻醉及不宜进行气腹的患者有更多受益。
关键词： 悬吊免气腹经脐单孔腹腔镜；心肺功能异常；卵巢良性肿瘤
Abstract
Objective To investigate the application value of gasless suspension TU-LESS in the treatment of benign ovarian tumors with abnormal cardiopulmonary function. Method Retrospective analysis on 60 cases, which mainly diagnosed benign ovarian tumor and had an operation of gasless suspension transumbilical laparoendoscopic single-port surgery (TU-LESS) in the department of gynecology and obstetrics in People's Hospital of Ningxia Hui Autonomous Region, from September 1, 2018 to August 31, 2021. Heart rate (HR), respiratory rate (RR), systolic blood pressure (SBP), diastolic blood pressure (DBP), and blood oxygen saturation (SpO2) were monitored before anesthesia (T1), 30min after the suspension device was established (T2), and 10min after suspension device was removed (T3). PaO2, PaCO2, PH, and HCO3- in the Arterial blood gas analysis at T1, T2, and T3. were recorded. Results All cases were successfully operated, and no surrounding organs were damaged, no pneumoperitoneoscopy, porous laparoscopy, or open surgery were performed due to various reasons, and no anesthesia was changed. There were no significant differences in HR, RR, SBP, DBP, SpO2 and PaO2, PaCO2, PH, and HCO3- in arterial blood gas analysis in all patients at T1, T2, and T3 (P>0.05). Conclusion Gasless suspension TU-LESS is safe and feasible for excision of benign ovarian tumors, especially for patients with abnormal cardiopulmonary function, who cannot tolerate general anesthesia, and who are not suitable for pneumoperitoneum.
Key words： Gasless Suspension TU-LESS, Abnormal Cardiopulmonary Function, Benign Ovarian Tumors
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