宫颈癌术前动脉介入化疗并发症分析及防护对策  

Analysis of complications of preoperative cervical cancer patients accepting arterial intervention chemotherapy and its precaution countermeasures

作　　者：杜美琴[1] 陈继明[1] 杨淑兰[1] 余爱敏[1] 

机构地区：[1]苏州大学附属第三医院

出　　处：《全科护理》2009年第34期3109-3111,共3页Chinese General Practice Nursing

摘　　要：[目的]分析宫颈癌术前动脉介入化疗并发症,探讨其防护对策。[方法]回顾性分析38例宫颈癌病人行术前动脉介入化疗的临床资料。[结果]本组病人临床近期有效率81.6%,手术切除率94.7%,2例进行化疗后放疗;化疗后出现白细胞严重降低4例,不同程度胃肠道反应18例,发热13例,尿潴留3例,穿刺部位血肿2例,持续性下腹痛2例,存在轻度神经系统并发症2例,造影剂变态反应1例,下肢深静脉血栓形成1例。针对以上毒副反应及各种并发症,采取积极有效的防护措施后,病人均恢复良好。[结论]术前动脉介入化疗可提高宫颈癌的近期疗效,其毒副反应较轻;针对介入并发症,采取及时有效的防护措施,是提高介入治疗安全性和成功率的关键。Objective： To analyze complications of preoperative cervical cancer patients accepting arterial intervention chemotherapy and to probe into its precaution countermeasures. Methods： Clinical data of 38 cases of preoperative cervical cancer patients accepting arterial intervention chemotherapy were analyzed retrospectively. Results： Clinical short-term effective rate of this group cases was 81.6%. The resection rate was 94.7%. Two cases of chemotherapy were followed by radiotherapy. White blood cells of 4 cases decreased seriously after chemotherapy. And 18 patients were with various degrees of gastrointestinal tract reactions. Fever appeared in 13 patients. Urinary retention took place in 3 cases. Hematoma in puncture sites appeared in 2 patients. And 2 cases were with continuous lower abdominal pain. Another 2 cases had mild degree of neurological system complications. Allergic reaction due to contrast agent happened in one case. And one case had deep venous thrombus in lower extremity. By taking active, effective and protective nursing measures to aim directly at above mentioned side reactions and complications, all patients recovered well. Conclusions： Preoperative arterial intervention chemotherapy could improve the short-term effect of cervical cancer patients. It has less toxicity and side reactions. For intervention complications, to take timely and effec tively protective measures is the key points to enhance both safety and success rate of interventional treatment.

关 键 词：宫颈癌 动脉介入 化疗 毒副反应 并发症 护理 

分 类 号：R473.73[医药卫生—护理学]