国际医药卫生导报
國際醫藥衛生導報
국제의약위생도보
INTERNATIONAL MEDICINE & HEALTH GUIDANCE NEWS
2009年
14期
116-118
,共3页
膀胱全切%乙状结肠新膀胱%护理
膀胱全切%乙狀結腸新膀胱%護理
방광전절%을상결장신방광%호리
Radical cystectomy%Sigmoid colonic neobladder,Care
目的 探讨膀胱全切乙状结肠去带膀胱术的心理护理与康复指导要点.方法 收治10例浸润性膀胱癌患者,术前对患者进行充分的心理护理,使配合膀胱全切乙状结肠去带膀胱术围手术期的各项处理;术后早期对患者行新膀胱功能训练、饮食指引等康复指导,随访观察手术的疗效.结果 所有手术均取得成功,术中无并发症发生;随访3～16个月,患者新膀胱功能良好,无尿道狭窄等明显并发症,所有患者白天可完全控制排尿.结论 术前耐心细致的心理护理结合术后早期正确的新膀胱功能训练康复指导是保证手术疗效、减少并发症的护理关键.
目的 探討膀胱全切乙狀結腸去帶膀胱術的心理護理與康複指導要點.方法 收治10例浸潤性膀胱癌患者,術前對患者進行充分的心理護理,使配閤膀胱全切乙狀結腸去帶膀胱術圍手術期的各項處理;術後早期對患者行新膀胱功能訓練、飲食指引等康複指導,隨訪觀察手術的療效.結果 所有手術均取得成功,術中無併髮癥髮生;隨訪3～16箇月,患者新膀胱功能良好,無尿道狹窄等明顯併髮癥,所有患者白天可完全控製排尿.結論 術前耐心細緻的心理護理結閤術後早期正確的新膀胱功能訓練康複指導是保證手術療效、減少併髮癥的護理關鍵.
목적 탐토방광전절을상결장거대방광술적심리호리여강복지도요점.방법 수치10례침윤성방광암환자,술전대환자진행충분적심리호리,사배합방광전절을상결장거대방광술위수술기적각항처리;술후조기대환자행신방광공능훈련、음식지인등강복지도,수방관찰수술적료효.결과 소유수술균취득성공,술중무병발증발생;수방3～16개월,환자신방광공능량호,무뇨도협착등명현병발증,소유환자백천가완전공제배뇨.결론 술전내심세치적심리호리결합술후조기정학적신방광공능훈련강복지도시보증수술료효、감소병발증적호리관건.
Objective To explore the key points of psychological care with rehabilitation instruction in the surgery of radical cystectomy and sigmoid colonic neobladder.Methods Ten patients with invasive bladder cancer were enrolled in this study.Full preoperative psychological care was gave to these patients in order to ersure the perioperative treatment were successful.All paints received rehabilitation instruction after radical cystectomy with sigmoid colonic neobladder surgery,including neobladder function training,diet guidance and so on.Surgical outcome was observed during follow-up.Resulls All operations were successful without complications happening during operation.During 3 months to 15 months follow-up,all patients had satisfactory neobladder function with full control of urination during daytime.No severe postoperative complication,such as urethrostenosis,was found.Conclusions Intensive preoperative psychological care combined with early correct function training of the neobladder is critical care points to ensure the surgery effect and reduce the complications.
