CT引导经皮穿刺微波消融治疗原发性肝癌的护理  

Nursing care for patients with primary liver cancer receiving CT-guided percutaneous microwave ablation treatment

作　　者：张春淼[1] 何晶[1] 张艳霞[1] 张晓莉[1] 王颖[1] 魏光华[1] 邢秀亚[1] 

机构地区：[1]首都医科大学附属北京佑安医院肿瘤微创介入中心,北京100069

出　　处：《介入放射学杂志》2015年第3期265-267,共3页Journal of Interventional Radiology

基　　金：国家科技支撑计划(2012BAI15B08);国家十二五重大专项(2012ZX10002015-002)

摘　　要：目的总结CT引导经皮穿刺微波消融(MWA)治疗原发性肝癌的护理要点。方法对77例原发性肝癌患者行CT引导经皮穿刺MWA治疗,应用优质护理方法实施围手术期护理,并对围手术期患者出现的不良反应进行分析、总结。结果 77例接受CT引导经皮穿刺MWA治疗的患者均顺利完成手术治疗,术后出现不同程度疼痛29例,肝功能损害6例,气胸1例。所有患者经过积极的治疗和护理后,病情均得到有效控制,本组未出现围手术期死亡案例。结论充分的术前准备、密切的术中配合以及术后有效的治疗和护理有利于病情恢复,对有效预防和减少并发症的发生,提高患者生存质量均有重要意义。Objective To summarize the nursing points for patients with primary hepatocellular carcinoma（HCC） who are receiving CT-guided percutaneous microwave ablation treatment.Methods A total of 77 HCC patients were enrolled in this study.CT-guided percutaneous microwave ablation treatment was carried out in all patients.High quality perioperative nursing care was implemented,and the adverse reactions were analyzed and summarized.Results CT-guided percutaneous microwave ablation was successfully accomplished in all the 77 cases.After the treatment,different degrees of pain occurred in 29 cases,liver function damage was detected in 6 cases,and pneumothorax was seen in one case.After active treatment and nursing,the clinical conditions were effectively controlled in all patients.No death occurred in perioperative period.Conclusion With the help of sufficient preoperative preparation,close intraoperative cooperation and postoperative effective treatment and nursing,the clinical condition is significantly improved,the complications have been effectively prevented and reduced,and the patient＇s quality of life is also improved.

关 键 词：原发性肝癌 CT引导 微波消融 护理 

分 类 号：R473.73[医药卫生—护理学]