子宫动脉栓塞治疗子宫肌瘤的并发症及护理  

Study on Treatment of Complications of Uterine Fibroids by Uterine Artery Embolization and Its Nursing

作　　者：胡鸿飞[1] 

机构地区：[1]中国人民解放军第四二二医院妇产科,广东湛江524005

出　　处：《实用预防医学》2010年第9期1887-1888,共2页Practical Preventive Medicine

摘　　要：目的探讨子宫肌瘤动脉栓塞治疗子宫肌瘤术后并发症的原因及护理措施。方法回顾分析我科2008年1月-2010年2月住院收治的子宫肌瘤患者35例采用子宫肌瘤动脉栓塞治疗的临床资料,对其并发症的发生原因以及处理措施进行讨论。结果 35例患者均行子宫肌瘤动脉栓塞成功,3～5 d出院。随访6～12个月,症状均有不同程度的改善。6个月复查子宫肌瘤平均缩小31.09%,子宫体积缩小平均38.4%。1年子宫肌瘤缩小达35.66%,子宫体积缩小50.29%。本组出现疼痛31例(88.57%),便秘26例(74.29%),恶心、呕吐25例(71.43%),发热10例(28.57%),子宫动脉痉挛1例(2.86%),术后停经1例(2.86%),经对症处理后均好转,护理效果良好。结论细心观察患者术后的临床症状,正确处理术后并发症,有利于提高疗效。Objective To explore the causes of complications and nursing measures of uterine fibroids treated by uterine artery embolization. Methods The clinical data of 35 inpatients with uterine fibroids treated by uterine artery embolization in Department of Obstetrics and Genecology,No.422 Hospital of PLA from January,2008 to February,2010 were retrospectively analyzed,and the causes of complications and treatment measures were discussed. Results Thirty-five patients with uterine fibroids treated by uterine artery embolization were successful,and all the patients were discharged from hospital in 3～5 days after operation.The follow-up period ranged from 6 to 12 months, and different degrees of symptom improvement were observed in all the patients.The results of reexamination at six-month after operation showed that the average decreases of fibroid and uterine volume were 31.09% and 38.4%,respectively.One-year after operation,the average decreases of fibroid and uterine volume were 35.66% and 50.29%,respectively.There were 31 patients with ache（88.57%）,26 with constipation（74.29%）,25 with nausea and vomiting（71.43%）,10 with fever（28.57%）,1 with uterine artery spasm（2.86%）,and 1 with menopause after operation（2.86%）;however,they were relieved after the expectant treatment and the nursing effect was favorable. Conclusions Carefully observing patient＇s clinical symptoms and correctly handling postoperative complications are beneficial to improving the therapeutic efficacy of uterine fibroid embolization.

关 键 词：子宫肌瘤栓塞术 并发症 护理 

分 类 号：R711.74[医药卫生—妇产科学]