Trendelenburg体位的临床应用进展

doi:10.24920/004231

摘要/Abstract

摘要：

Trendelenburg体位与反Trendelenburg体位是下腹部手术常采用的体位，通常与气腹联合使用，以达到开阔手术视野，充分暴露手术部位的目的。然而，这种特殊体位会对患者的机体生理功能产生多方面的影响。本文旨在梳理和总结Trendelenburg体位与反Trendelenburg体位的历史、对机体生理功能的影响、当前临床应用的新进展以及并发症防治等方面的内容，为临床工作提供一定的理论指导和依据。

关键词: Trendelenburg体位, 反Trendelenburg体位, 角度

Abstract:

The Trendelenburg position and reverse Trendelenburg position are frequently employed during lower abdominal surgery to achieve optimal surgical field visualization and complete exposure of the operative site, particularly under pneumoperitoneum conditions. However, these positions can have significant impacts on the patient’s physiological functions. This article overviews the historical background of Trendelenburg position and reverse Trendelenbury position, their effects on various physiological functions, recent advancements in their clinical applications, and strategies for preventing and managing associated complications.

Key words: Trendelenburg position, reverse Trendelenburg position, physiological function, emerging application angle

Qing Qiu,Xu Shen. Advances in the Clinical Application of Trendelenburg Position[J].Chinese Medical Sciences Journal, 2023, 38(4): 297-304.

图/表 3

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Position	Suitable angle	Applicable type of surgery
TP	15°	Laparoscopic rectal cancer surgery
TP	30°	Laparoscopic hysterectomy
RTP	20°	Open rhinoplasty
RTP	20°	Thyroid surgery

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