子宫动脉化疗栓塞术治疗宫颈妊娠23例临床观察及护理  

Clinical observation and nursing for patients with cervical pregnancy receiving uterine artery chemoembolization: report of 23 cases

作　　者：廖新彬[1] 吴文泽[1] 

机构地区：[1]湖北荆州华中科技大学同济医学院附属荆州医院放射科介入室,434020

出　　处：《介入放射学杂志》2014年第12期1103-1105,共3页Journal of Interventional Radiology

摘　　要：目的总结子宫动脉化疗栓塞术治疗宫颈妊娠患者的临床观察及护理经验。方法 23例诊断为宫颈妊娠并行子宫动脉造影术及化疗栓塞术的患者在介入治疗全过程中进行精细临床护理干预,包括术前对患者进行心理辅导和支持,介绍介入治疗的重要性、安全性和优越性,缓解患者焦虑、恐惧情绪,以更好地配合手术;术中严密观察生命体征和过敏反应发生情况;术后严密观察并发症症状。结果22例患者介入术后1个月复查血β-HCG降至正常,B超检查子宫颈恢复正常大小,1例原发性宫颈妊娠而后继发绒毛膜癌,介入治疗后2个月行子宫全切术,术后1周复查β-HCG降至正常。未发生与治疗及护理相关的并发症。结论对患者进行系统有效的护理取得了良好效果,有效地预防了并发症的发生,子宫动脉栓塞术可把组织出血控制在最小范围,保留了患者的生育能力,提高了生活质量。Objective To summarize the clinical observation and nursing experience for patients with cervical pregnancy receiving uterine artery chemoembolization. Methods A total of 23 patients with proved cervical pregnancy were enrolled in this study. Uterine angiography and transcatheter uterine arterial chemoembolization were carried out in all patients. During the whole interventional treatment course careful clinical nursing intervention was strictly executed, including preoperative psychological support and explanation of the importance, safety and advantages of interventional procedure in order to relieve patient＇s anxiety and fear feeling to make the patients to cooperate with the operation in a better way. During the operation close attention was paid to the vital signs and possible allergic reactions. After the operation, the patients were kept under careful observation for the occurrence of complications. Results One month after the treatment the blood 15-HCG level fell to normal range in 22 patients, and B-ultrasonography showed that the cervix uterus returned to normal size. In one patient with primary cervical pregnancy and secondary choriocarcinoma, hysterectomy had to be carried out two months after interventional therapy, and the blood -HCG level fell to normal level in one week. No procedure- or nursing- related complications occurred. Conclusion Systemic and effective nursing cares for patients with cervical pregnancy, who are receiving uterine artery chemoembolization, can effectively prevent the complications from happening. Uterine artery embolization can control the bleeding to the minimal extent, retain the fertility of patients and improve the quality of life. （J Intervent Radiol, 2014, 23 ： 1103-1105）

关 键 词：宫颈妊娠 子宫动脉栓塞化疗术 介入治疗 护理 

分 类 号：R473.71[医药卫生—护理学]