现代临床护理
現代臨床護理
현대림상호리
MODERN CLINICAL NURSING
2014年
8期
31-33
,共3页
柏艳芳%李凤姣%周怡%吴枚禅
柏豔芳%李鳳姣%週怡%吳枚禪
백염방%리봉교%주이%오매선
经肛门内镜显微手术%直肠肿瘤%围手术期%护理
經肛門內鏡顯微手術%直腸腫瘤%圍手術期%護理
경항문내경현미수술%직장종류%위수술기%호리
transanal endoscopic microsurgery%rectal neoplasms%perioperation%nursing
目的:探讨经肛门内镜显微手术(transanal endoscopic microsurgery,TEM)在直肠肿瘤切除术中的围手术期护理要点。方法对135例TEM切除直肠肿瘤手术护理经验进行回顾性分析和总结。结果患者手术顺利,手术效果满意,无复发病例,4例出现术后伤口感染,其中3例处理后好转,1例患者术后病理结果显示低分化腺癌,择期另行手术。结论充分的术前准备、术中合理科学的体位安置、熟悉手术步骤及配合程序、熟练的仪器操作以及术后并发症护理是手术顺利完成的关键。
目的:探討經肛門內鏡顯微手術(transanal endoscopic microsurgery,TEM)在直腸腫瘤切除術中的圍手術期護理要點。方法對135例TEM切除直腸腫瘤手術護理經驗進行迴顧性分析和總結。結果患者手術順利,手術效果滿意,無複髮病例,4例齣現術後傷口感染,其中3例處理後好轉,1例患者術後病理結果顯示低分化腺癌,擇期另行手術。結論充分的術前準備、術中閤理科學的體位安置、熟悉手術步驟及配閤程序、熟練的儀器操作以及術後併髮癥護理是手術順利完成的關鍵。
목적:탐토경항문내경현미수술(transanal endoscopic microsurgery,TEM)재직장종류절제술중적위수술기호리요점。방법대135례TEM절제직장종류수술호리경험진행회고성분석화총결。결과환자수술순리,수술효과만의,무복발병례,4례출현술후상구감염,기중3례처리후호전,1례환자술후병리결과현시저분화선암,택기령행수술。결론충분적술전준비、술중합이과학적체위안치、숙실수술보취급배합정서、숙련적의기조작이급술후병발증호리시수술순리완성적관건。
Objective To introduce the application and the surgical cooperation of the transanal endoscopic microsurgery in resection of rectal neoplasms and summarize the nursing points.Method The clinical histories of 135 patients undergoing resection of rectal neoplasms with transanal endoscopic microsurgery were reviewed and analyzed.Results All the surgeries were successful. Four patients developed with wound infections,three of them getting better after treatment and one of them diagnosed with poorly differentiated adenocarcinoma and selected another operation.Conclusion Well-prepared、pre-operation,skillful operation and instrument procedure and postoperative nursing were critical to the success of operations.