宫内器械调位辅助输卵管介入治疗的护理  

Nursing of intrauterine instruments positioning in assistance of tubal interventional treatment

作　　者：廖淑梅[1] 王芳军[1] 温凤媚[1] 林宜圣[1] 严英[1] 周伟生[1] 

机构地区：[1]广州中医药大学第一附属医院妇科,510405

出　　处：《中国实用护理杂志（中旬版）》2009年第5期9-11,共3页Chinese Journal of Practical Nursing

基　　金：广东省中医药局课题项目（1007079）

摘　　要：目的探讨利用宫内调位器械辅助进行输卵管介入治疗的护理问题及应用价值。方法选取常规方法插管困难的患者66例，采用子宫探针或扩宫条插入官腔内进行位置矫正或粘连松解后，再进行输卵管介入操作，同时注意护理配合，对护理要点进行总结。结果经调位辅助后的选择性输卵管插管成功率达100％，再通成功率为92．68％，不良反应主要为下腹痛及少量阴道流血，迷走神经反应发生率为3．03％。结论宫内器械调位能够提高输卵管选择性插管的成功率，但不可忽视其护理问题。Objective To explore the nursing problems and application value of intrauterine instruments positioning in assistance of tubal interventional treatment. Methods Uterine probe or expanding-uterus stick was used in 66 cases who had aborted with routine methods for rectifying the position of uterus or adhesion re- lease, then the selected catheter was inserted to the targeted fallopian tube for interventional aim. Nurses paid at- tention to the nursing cooperation and summarized the nursing points during the whole processes. Results With this technique, the achievement ratio of selected insertion to fallopian tube was 100% and that of recanalization was 92.68%. The major adverse effects were hypogastralgia and little vaginal bleeding. Pneumogastric nerve reactions were found in 3.03% cases. Conclusions The assistant-instrument could elevate the achievement ratio of selected insertion to the targeted fallopian tubes, but the nursing problems shouldn＇t be neglected.

关 键 词：不孕症 临床 宫内器械调位辅助 输卵管 介入 治疗 护理 子宫探针 扩宫条 

分 类 号：R713.7[医药卫生—妇产科学]