CAJ | 학술논문

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。
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.