宫颈锥形电切术治疗宫颈上皮内瘤样病变的护理  

作　　者：王琼娟[1] 吴翠色[1] 杨丽英[1] 杜合英[1] 忻丹帼[1] 

机构地区：[1]中山大学附属第一医院东山院区妇产科,广东广州510080

出　　处：《现代临床护理》2010年第10期32-33,共2页Modern Clinical Nursing

摘　　要：目的探讨宫颈锥形电切术(loope lec-trosurgical excisional procedure,LEEP)治疗宫颈上皮内瘤样病变(cervical intraepithelial neoplasia,CIN)的护理要点。方法对65例CIN患者实施LEEP治疗,并给予术前后的护理。结果患者手术过程顺利,平均住院时间(3.0±1.2)d,61例患者术后出血量<20mL,占93.9%;3例出血量20-100mL,占4.6%;1例出血量>200mL,占1.5%;1例出院后7d因感染再次入院。结论LEEP在诊断宫颈疾病的同时还可治疗CIN疾病。护理过程要求护理人员术前要加强患者CIN疾病及LEEP手术知识的健康指导,减轻患者焦虑情绪;术后密切观察患者是否出现阴道流血及感染症状,及时采取措施,其是LEEP术治疗成功的重要措施。Objective To investigate the nursing measures of patients with cervical intraepithelial neoplasia （CIN） treated with loop electrosurgical excision procedure （LEEP）. Methods Preoperative and postoperative nursing care were performed among the 65 patients with CIN treated with loop electrosurgical excision procedure （LEEP）. Results All patients returned to normal diet and got active in 2 hours after operation. The average length of hospitalization is （3.0 ± 1.2）d. The volume of postoperative bleeding is less than 20 mL in 61 of them （93.9%）; 20 to 30 mL in 3 of them （4.6%）; over 200 mL 1 of them （1.5%）. One patient was readmitted 7 days after discharge due to infection. Conclusions System interventions, including preoperative health guidance of knowledge of CIN and LEEP operation, which aims at relieving the dysphoria of patients, and intimate observation of vaginal bleeding and infection after operation and taking measures in time, are beneficial to the success of LEEP.

关 键 词：宫颈锥形电切术 宫颈上皮内瘤样病变 护理 

分 类 号：R473.73[医药卫生—护理学]