CAJ | 학술논문

目的探讨微侵袭手术治疗侧屈型痉挛性斜颈患者的围手术期护理干预.方法采用微侵袭手术治疗88例侧屈型痉挛性斜颈(LaFST),调查患者起病诱因和情绪因素与临床表现的关系,加强对患者围手术期的心理护理、手术治疗护理、手术后的康复训练和指导.结果全组88例,斜颈症状痊愈72例占81.8％,显效12例占13.6％,进步4例占4.6％.结论颈部痉挛肌肉选择性切除和颈部神经选择性去神经术治疗侧屈型痉挛性斜颈,手术安全、创伤小、疗效满意.加强围手术期护理干预和手术后的康复指导是患者早日康复的重要措施.
목적 탐토미침습수술치료측굴형경련성사경환자적위수술기호리간예.방법 채용미침습수술치료88례측굴형경련성사경(LaFST),조사환자기병유인화정서인소여림상표현적관계,가강대환자위수술기적심리호리、수술치료호리、수술후적강복훈련화지도.결과 전조88례,사경증상전유72례점81.8％,현효12례점13.6％,진보4례점4.6％.결론 경부경련기육선택성절제화경부신경선택성거신경술치료측굴형경련성사경,수술안전、창상소、료효만의.가강위수술기호리간예화수술후적강복지도시환자조일강복적중요조시.
Objective To study the perioperative nursing care of minimally invasive operation in the neurosurgical treatment of laterial flexure spasmodic torticollis (LaFST).Methods Minimally invasive operation was used to treat LaFST.The relationship of inducing factors and emotional factors with clinical manifestation of LaFST was investigated.To give perioperative psychological nursing,operation nursing and rehabilitation training and instruction.Results 72 cases were recovered (81.8％) among 88 cases.12 cases(13.6％) were markedly effective.4 cases(4.6％) showed progress.Conclusions The minimally invasive surgical treatrnent of selective resection of cervical spasmodic muscles and selective neurotomy of cervical nerve for LaFST is safe and effective.Strengthening of perioperative nursing and postoperative rehabilitation instruction is very important for patients' early recovery.