CAJ | 학술논문

目的：：探讨内镜黏膜下挖除术（ESE）治疗消化道黏膜下肿瘤（SMT)的护理方法。方法：选择2013~2014年消化道黏膜下肿瘤101例进行内镜黏膜下挖除术的患者于术前准备、术中配合、术后病情观察及饮食指导。结果：101例患者中1例贲门和1例食管黏膜下肿瘤分别因肿瘤与肌层紧粘连无法分离、穿孔大无法补修而转至外科行手术治疗，余99例病变一次性完整切除。术中穿孔6例，其中1例转科行手术治疗，5例内镜下行有效缝合。术中出血0~50ml不等，无术后出血。ESE治疗后住院约3~15天，10例失访，其余89例患者随访1~24个月，未见复发。结论：充分的心理护理及术前准备、术后护理可以提高消化道黏膜下内镜治疗术后的治疗质量，减少并发症，促进患者早日康复。
목적：：탐토내경점막하알제술（ESE）치료소화도점막하종류（SMT)적호리방법。방법：선택2013~2014년소화도점막하종류101례진행내경점막하알제술적환자우술전준비、술중배합、술후병정관찰급음식지도。결과：101례환자중1례분문화1례식관점막하종류분별인종류여기층긴점련무법분리、천공대무법보수이전지외과행수술치료，여99례병변일차성완정절제。술중천공6례，기중1례전과행수술치료，5례내경하행유효봉합。술중출혈0~50ml불등，무술후출혈。ESE치료후주원약3~15천，10례실방，기여89례환자수방1~24개월，미견복발。결론：충분적심리호리급술전준비、술후호리가이제고소화도점막하내경치료술후적치료질량，감소병발증，촉진환자조일강복。
Objective:To explore the nursing methods of endoscopic mucosal resection (ESE) in the treatment of gastrointestinal submucosal tumor (SMT). Methods:101 cases of digestive tract submucosal tumor in 2013-2014 were selected to carry out preoperative psychological nursing, preoperative evaluation and preoperative diet preparation;nursing cooperation during operation, postoperative observation, diet nursing and discharge guidance. Results:1 cases of cardia and 1 cases of esophageal mucosa tumor can not be separated due to tight adhesion between tumor and muscle, perforation unable to repair and transferred to the surgical department. Other 99 cases of lesions were resected completely one time. Perforation occurred in 6 cases, including 1 cases transferred for operation treatment, 5 cases were endoscopic sutured effectively. 0-50ml ranged from bleeding, no postoperative bleeding.After ESE treatment, 10 patients were followed up for 3-15 days, and the other 89 patients were followed up for 1-24 months, no recurrence was found.Conclusion:Adequate mental nursing,preoperative and preoperative nuring can promote the therapy quality after the operation of therapeutic endoscopy of gastrointestinal sub mucosal tumor, reduce complications and promote early recovery of patients.