CAJ | 학술논문

目的:探讨 ERCP+EST +腹腔镜胆囊切除治疗胆囊结石合并胆总管结石患者的护理方法.方法:对本院2011年6月-2012年6月收治的经 ERCP+EST +腹腔镜胆囊切除治疗胆囊结石合并胆总管结石患者的围手术期的心理护理、临床护理与监测、健康教育进行回顾性分析.结果:89例例胆囊结石合并胆总管结石患者手术成功,恢复良好.结论:对于胆囊结石合并胆总管结石患者先进行 ERCP+EST 术,在先将胆总管内的结石取出后再进行腹腔镜胆囊切除手术,使得患者避免了传统手术导致的切口疼痛,多管引流导致的活动限制、术后禁食时间长,带 T 管时间长、易发生胆道感染的缺点,并且使住院天数减少,患者舒适度增加、痛苦小、恢复快等优点而成为胆道系统结石治疗的首选方法.
목적:탐토 ERCP+EST +복강경담낭절제치료담낭결석합병담총관결석환자적호리방법.방법:대본원2011년6월-2012년6월수치적경 ERCP+EST +복강경담낭절제치료담낭결석합병담총관결석환자적위수술기적심리호리、림상호리여감측、건강교육진행회고성분석.결과:89례례담낭결석합병담총관결석환자수술성공,회복량호.결론:대우담낭결석합병담총관결석환자선진행 ERCP+EST 술,재선장담총관내적결석취출후재진행복강경담낭절제수술,사득환자피면료전통수술도치적절구동통,다관인류도치적활동한제、술후금식시간장,대 T 관시간장、역발생담도감염적결점,병차사주원천수감소,환자서괄도증가、통고소、회복쾌등우점이성위담도계통결석치료적수선방법.
Objective:To explore the ERCP+EST + laparoscopic treatment of gallstones and bile duct stones in patients with nursing method. Method:in our hospital in 2011 June to 2012 June were treated by ERCP+EST + laparoscopic treatment of gallstones and bile duct stones in patients during peri operation period of psychological nursing,clinical nursing,health education and monitoring retrospective analysis. Result:89 cases of patients with gallstones and common bile duct stones in patients with successful operation,good recovery. Conclusion:The gallbladder and bile duct stones in patients with first ERCP+EST operation,prior to the removal of calculus of common bile duct after laparoscopic cholecystectomy operation,allows the patient to avoid the traditional operation led to the incision pain,multiple drainage resulted in activity limitations,postoperative fasting time is long,with a T tube long,easy occurrence of biliary infection of the disadvantages,and reduced hospital stay,patient comfort is increased,less pain,rapid recovery has become the preferred method of treatment of biliary tract stones.