胸腰椎肿瘤后路切除椎板减压内固定术的围术期护理  

Perioperative nursing of vertebral decompression and internal fixation for thoracic and lumber vertebral tumor patients

作　　者：顾明[1] 陈月英[1] 曾丽娟[1] 李旭[1] 袁晓玲[1] 楼燕凤[1] 周光新[1] 

机构地区：[1]南京军区南京总医院骨科,江苏南京210002

出　　处：《实用临床医药杂志》2014年第20期69-72,80,共5页Journal of Clinical Medicine in Practice

基　　金：国家自然基金资助项目(81102039)

摘　　要：目的探讨胸腰椎肿瘤后路切除椎板减压内固定术的围术期护理措施。方法回顾性分析68例胸腰椎肿瘤后路切除椎板减压内固定术患者的临床资料,总结围术期的护理措施。结果随访6-36个月,转移性肿瘤患者4例出现肿瘤术后复发,5例出现脑脊液漏,1例下肢深静脉血栓,1例感染,4例排尿困难,6例便秘。结论术前进行有效的心理疏导、充分的术前准备,术后严密观察病情变化,做好体位和疼痛护理,早期合理的功能锻炼指导,加强并发症的观察和护理,是保证胸腰椎肿瘤后路切除椎板减压内固定术手术成功和疾病恢复的关键。Objective To explore methods of perioperative nursing of vertebral decompression and internal fixation for thoracic and lumber vertebral tumor patients. Methods The clinical materials of 68 patients accepted the vertebral decompression and internal fixation to cure thoracic and lumber vertebral tumor were retrospectively analyzed and perioperative nursing measures were summarized. Results 68 patients were followed-up for 6 months to 36 months. There were 4 cases with tumor relapse,5 cases with cerebrospinal fluid leaks,1 case with lower extremity deep venous thrombosis,1 case with incision infection,4 cases with dysuria and 6 cases with constipation. Conclusion Effective psychological counseling,sufficient preoperative preparation,careful postoperative observation,good postural and pain nursing,early functional exercise guidance and observation and nursing of complications are the key to the successful operation and disease rehabilitation.

关 键 词：胸腰椎肿瘤 后路切除 内固定术 围术期 护理 

分 类 号：R473.73[医药卫生—护理学]