Application of surgical adhesive membrane combined with modified towel placement method in orthopaedic unilateral biportal endoscopy operation

WANG Hai-feng; JIANG Ting; ZHANG Shan-shan

doi:10.11659/jjssx.05E024120

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Application of surgical adhesive membrane combined with modified towel placement method in orthopaedic unilateral biportal endoscopy operation

Technique and Method | 更新时间：2025-04-17

- Application of surgical adhesive membrane combined with modified towel placement method in orthopaedic unilateral biportal endoscopy operation
- JOURNAL OF REGIONAL ANATOMY AND OPERATIVE SURGERY Vol. 34, Issue 4, Pages: 350-353(2025)
- 作者机构：
  
  安徽中医药大学第一附属医院手术室，安徽合肥 230031
- 作者简介：
- 基金信息：
- DOI：10.11659/jjssx.05E024120
  CLC： R61
- Received：27 May 2024，
  
  Published：25 April 2025
- 稿件说明：
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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(04):350-353.

WANG Hai-feng,JIANG Ting,ZHANG Shan-shan.Application of surgical adhesive membrane combined with modified towel placement method in orthopaedic unilateral biportal endoscopy operation[J].JOURNAL OF REGIONAL ANATOMY AND OPERATIVE SURGERY,2025,34(04):350-353.
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(04):350-353. DOI： 10.11659/jjssx.05E024120.

WANG Hai-feng,JIANG Ting,ZHANG Shan-shan.Application of surgical adhesive membrane combined with modified towel placement method in orthopaedic unilateral biportal endoscopy operation[J].JOURNAL OF REGIONAL ANATOMY AND OPERATIVE SURGERY,2025,34(04):350-353. DOI： 10.11659/jjssx.05E024120.

摘要

目的

观察手术贴膜配合方巾改良贴法在骨科单侧双通道脊柱内镜（UBE）手术患者中的应用效果。

方法

选取2022年12月至2023年9月于我院行骨科UBE手术的患者61例，按手术时贴膜与铺巾方式不同分为对照组（31例，常规手术贴膜+铺巾）与观察组（30例，手术贴膜配合方巾改良贴法）。比较2组患者手术区域浸湿程度、生命体征、术中不良事件、术后切口感染率以及患者满意度。

结果

观察组术野周围无菌单潮湿、患者皮肤潮湿占比低于对照组（

0.05）；观察组患者椎管减压、手术结束时的血氧饱和度（SpO

）、心率（HR）、平均动脉压（MAP）明显优于对照组（

0.05）；2组患者术后均未发生切口感染，2组患者不良事件总发生率比较差异无统计学意义（

0.05）；观察组患者的满意度明显高于对照组（

0.05）。

结论

手术贴膜配合方巾改良贴法可减少骨科UBE手术中手术区域浸湿程度，稳定患者生命体征，提高患者满意度。

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 （

0.05）. The saturation of peripheral oxygen （SpO

）， 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 （

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 （

0.05）. The patients' satisfaction in the observation group was significantly higher than that in the control group （

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

Keywords

references

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