CAJ | 학술논문

目的：总结累及肛门括约肌的会阴子宫内膜异位症（perineal endometriosis，PEM）患者围手术期护理要点。方法2009年1月～2013年6月对本院17例会阴子宫内膜异位症患者采用病灶切除术或病灶不全切除术+肛门括约肌修补术，并做好护理配合工作。结果17例患者术后均无大便失禁，会阴切口愈合好，无并发症；门诊随访有1例复发，复发率5.9%。结论术前加强患者心理护理，术后密切观察患者伤口情况，指导患者饮食，做好排便护理及健康指导，其可促进患者恢复。
목적：총결루급항문괄약기적회음자궁내막이위증（perineal endometriosis，PEM）환자위수술기호리요점。방법2009년1월～2013년6월대본원17례회음자궁내막이위증환자채용병조절제술혹병조불전절제술+항문괄약기수보술，병주호호리배합공작。결과17례환자술후균무대편실금，회음절구유합호，무병발증；문진수방유1례복발，복발솔5.9%。결론술전가강환자심리호리，술후밀절관찰환자상구정황，지도환자음식，주호배편호리급건강지도，기가촉진환자회복。
Objective To investigate the perioperative health care to patients with perineal endometriosis (PME) involving anal sphincter.Method The clinical data of 17 patients diagnosed with PEM involving anal sphincter at the Peking Union Medical College Hospital from January 2009 to June 2013 were analyzed retrospectively.Results The perineal incisions in all cases were satisfactorily healed,without any fatal incontinence or other complications.There was only one case of recurrence,accounting for 5.9%.Conclusion Preoperative psychological nursing,postoperative close observation on the incisions,diet instructions,management of defecation and targeted health education can all contribute to patients’ recovery.