射频治疗第一肝门区肝癌的围手术期护理  

Study on nursing of peri-operation of liver cancer located in the first hepatic hilar region received radio frequency combined with absolute alcohol injection intratumorally

作　　者：袁湘瑜[1] 刘树佳 李文媚[1] 徐映华 

机构地区：[1]广东省东莞市人民医院,523018 [2]广东省东莞市道溜医院肿瘤外科,523176

出　　处：《现代护理》2007年第09X期2549-2551,共3页Modern Nursing

基　　金：广东省东莞市自然科学基金资助课题项目（B2003-5）

摘　　要：目的探讨对于位于第一肝门区的小肝癌行B超引导经皮肝穿刺射频消融（PRFA）联合瘤内无水酒精注射（PEI）治疗的围手术期护理。方法2001年1月-2004年10月选择肿瘤位于第一肝门区、直径≤5cm、病理或临床证实为原发性或继发性肝癌的26例患者进行PRFA＋EI治疗。通过术前有针对性的心理护理,术中密切配合,术后严密观察,及时发现并发症,给予相应的护理措施。结果本组术中胆心反射1例,出现电极板皮肤烧伤1例,术后心率减慢4例,发热26例,肝区疼痛17例,经及时处理,全部治愈出院未发生护理并发症,无住院死亡,无胆管狭窄发生。结论射频联合瘤内无水酒精注射治疗第一肝门区小肝癌是一项新的治疗技术,科学的围手术期护理,是提高治疗成功率,减少并发症的重要保证。Objective To study the nursing of peri-operation of liver cancer located in the first hepatic hilar region received radio frequency （PRFA） combined with absolute alcohol injection intratumorally （PEI）. Methods 26 patients, who diagnosed as primary and metastatic liver cancer that located in first hepatic hilar region and diameter was less than 5cm by clinically and pathologically, were therapied with PRFA＋EI from Jan. 2001 to Oct. 2004. The corresponding measurements were as followed, psychological nursing, closed cooperation during operation, careful observation after operation and timely finding complications. Results there was 1 case with chole-cardiac reflex, lcase suffered with burn by electric pole-plate, 4 cases with decreased heart rate, 26 cases with fever, 17cases with hepatic pain, all of them were cured and discharged by fast treatment, there were no nursing complications and no death in hospital, and there was no stenosis of bile duct. Conclusions Radio frequency combined with injection of absolute alcohol injection intratumorally was one of the new techniques in the treatment of micro hepatoma located in first hepatic hilar region, the scientific nursing plays an important role during the peri- operation.

关 键 词：射频消融 无水酒精注射 肿瘤 护理 

分 类 号：R473[医药卫生—护理学]