肝门部胆管癌行计划性肝切除术的术前护理  

Preoperative Nursing of Planned Hepatectomy for Hilar Cholangiocarcinoma

作　　者：郑艳华[1] 马兴涛[1] 程庆保[1] 易滨[1] 姜小清[1] 

机构地区：[1]第二军医大学东方肝胆外科医院胆道一科,上海200438

出　　处：《解放军护理杂志》2012年第9期41-43,54,共4页Nursing Journal of Chinese People's Liberation Army

摘　　要：目的探讨计划性肝切除术治疗肝门部胆管癌的术前护理方法。方法 2005年1月至2009年12月,以计划性肝切除方式,对我科120例肝门部胆管癌患者行手术治疗,将治疗效果和相关术前护理方法进行回顾分析。结果本组患者术前行选择性胆道引流110例(91.7%)、行术前预切除肝叶的门静脉栓塞36例(30%),共102例(85.0%)获得镜下根治性切除。术后25例(20.8%)患者出现并发症,其中2例(1.7%)死亡,其余患者均顺利出院。结论计划性肝切除治疗肝门部胆管癌安全有效,完善的术前准备、有效的护患沟通、有针对性的营养支持以及积极的护理干预是计划性肝切除术顺利实施的重要保证。Objective To explore the preoperative nursing strategy for planned hepatectomy in patients with hilar cholangiocarcinoma（HCCA）. Methods From January 2005 to December 2009,120 patients with HCCA were admitted to our department and underwent planned hepatectomy. The treatment efficacy and preoperative nursing were retrospectively analyzed. Results Of 120 patients, percutaneous transhepatic biliary drainage （PTBD） were performed in 110 patients （91.7 % ）, portal vein embolization（PVE） of fur ure remant liver（FLR） in 36 patients（30%）, acquired curative resections（R0） in 102 patients （85.0%）. Major complications were encountered in 25 patients（20.8%）. There were 2 cases（1.7%） of in-hospital death. The remaining patients recovered smoothly and were discharged. Conclusion It is safe and valid for planned hepatectomy to treat HCCA. Perfect preoperative preparation,effective communication of the patients and nurses, pertinent nutritional support and active nursing intervention is the important guarantee to perform planned hepatectomy for patients with HCCA.

关 键 词：肝门部胆管癌 计划性肝切除 护理 

分 类 号：R735.8[医药卫生—肿瘤]