摘要
目的总结内镜下黏膜剥离术(ESD)围手术期的护理方法。方法对进行ESD治疗的28例患者围手术期护理进行总结,所有病例均经过术前护理评估、准备及心理护理、术中护理监护、术后护理预防并发症发生、护理随访4阶段。结果28例患者29处病变中22处病变完整切除,6处病变分块切除,1处病变未能全部切除,完整切除率75.9%,20例随访1~12个月均无病变残留或复发。结论ESD技术治疗消化道早癌及癌前病变可以将较大病变整块切除,但操作过程较复杂、技术难度较大,围手术期护理十分重要。
Objective To summarize the perioperative nursing methods of Endoscopic Submucosal Dissection (ESD). Methods The perioperative nursing of 28 patients undergoing ESD were summarized including four stages of pre-operative evaluation and psychological care, nursing monitoring during operation, postoperive prevention of complications, and nursing follow-up. Results In 28 patients, 29 lesions were resected. Among which 22 lesions were completely resected, 6 resected by pieces and 1 partially resected. The total en bloc resection rate was 75.9%. 20 cases were continuously followed up and no residual pathologic changes and no recurrence was found. Conclusions ESD is a useful technique for the treatment of early stage cancer and precancerous lesions in the gut which can resected the larger lesions. However, due to the difficulty and complexity of this technique, perioperative nursing plays an important role.
出处
《中华现代护理杂志》
2009年第8期723-724,共2页
Chinese Journal of Modern Nursing