CAJ | 학술논문

目的探讨微创手术治疗鼻咽癌放疗后颅底放射性骨坏死的围手术期护理要点.方法回顾性分析2006年3月至2013年3月采用鼻内镜微创手术方式治疗的47例鼻咽癌治疗后颅底骨坏死的患者的围手术期护理经验.围手术期给予患者心理支持和充分的医疗护理准备;术后加强鼻部鼻咽腔及并发症的观察及护理;出院前做好患者的健康指导.结果 47例患者手术均获得成功,术中、术后均无严重并发症发生.术前的头痛、鼻臭、反复鼻出血症状消失或明显减轻.所有患者于术后6个月内手术创面完全上皮化.随访3～84个月,46例患者仍健在,1例死于鼻咽部大出血.结论做好微创手术治疗鼻咽癌治疗后颅底骨坏死的围手术期护理,是保证患者配合治疗和早日康复的前提,可明显改善患者的生存质量.
목적 탐토미창수술치료비인암방료후로저방사성골배사적위수술기호리요점.방법 회고성분석2006년3월지2013년3월채용비내경미창수술방식치료적47례비인암치료후로저골배사적환자적위수술기호리경험.위수술기급여환자심리지지화충분적의료호리준비;술후가강비부비인강급병발증적관찰급호리;출원전주호환자적건강지도.결과 47례환자수술균획득성공,술중、술후균무엄중병발증발생.술전적두통、비취、반복비출혈증상소실혹명현감경.소유환자우술후6개월내수술창면완전상피화.수방3～84개월,46례환자잉건재,1례사우비인부대출혈.결론 주호미창수술치료비인암치료후로저골배사적위수술기호리,시보증환자배합치료화조일강복적전제,가명현개선환자적생존질량.
Objective This paper summarize peri-operative nursing of minimally invasive surgery on osteoradionecrosis of skull base after radiotherapy for nasopharyngeal carcinoma.Methods 47 cases of osteoradionecrosis of skull base after radiotherapy for nasopharyngeal carcinoma were operated via nasal endoscope from March 2006 to March 2013.Focused peri-operative psychological support and adequate medical care were given to patients.Strengthened nasal nasopharyngeal cavity nursing,the observation and nursing of complications were carried out after operation and health guidance pre-discharge was given.Results The operations of 47 cases were successful and no major complication of intra-operation and post-operation occurred.Headache and foul odor relieved after operation.The follow-up continued for 3 to 84 months,46 cases were survived,1 case died of nasopharyngeal massive bleeding.Conclusions Effective peri-operative nursing of minimally invasive surgery on osteoradionecrosis of skull base after radiotherapy could ensure patients' cooperation and the smooth implementation of surgery and improve the quality of life.