累及肛门括约肌的会阴子宫内膜异位症患者围手术期护理  

Perioperative nursing of patients with perineal endometriosis involving anal sphinctert

作　　者：陈洁[1] 薄海欣[1] 

机构地区：[1]北京协和医院妇科一病房,北京100730

出　　处：《现代临床护理》2014年第4期8-10,共3页Modern Clinical Nursing

摘　　要：目的总结累及肛门括约肌的会阴子宫内膜异位症（perineal endometriosis,PEM）患者围手术期护理要点。方法 2009年1月～2013年6月对本院17例会阴子宫内膜异位症患者采用病灶切除术或病灶不全切除术＋肛门括约肌修补术,并做好护理配合工作。结果 17例患者术后均无大便失禁,会阴切口愈合好,无并发症;门诊随访有1例复发,复发率5.9%。结论术前加强患者心理护理,术后密切观察患者伤口情况,指导患者饮食,做好排便护理及健康指导,其可促进患者恢复。Objective To investigatetheperioperativeheahh care to patientswithperineal endometriosis（PME）involvinganal sphincter. Method The clinical data of 17 patients diagnosed with PEM involving anal sphincter at the Peking Union Medical College Hospital from January 2009 to June 2013 were analyzed retrospectively. Results The perineal incisions in all eases were satisfactorily healed, without any fatal incontinence or other complications. There was only one ease of recurrence, accounting for 5.9 %. Conclusion Preoperative psychological nursing,postoperative elose observation on the incisions, diet instructions,management of defecation and targeted health education can all contribute to patients＇ recovery.

关 键 词：会阴子宫内膜异位症 肛门括约肌 护理 

分 类 号：R473.71[医药卫生—护理学]