内镜黏膜下挖除术治疗消化道黏膜下肿瘤的护理  

Nursing methods of endoscopic submucosal resection for the treatment of submucosal tumors of the digestive tract

作　　者：陈小香[1] 江秋霞[1] 王玉含[1] 王常凤 

机构地区：[1]安徽医科大学附属省立医院消化科,合肥230001

出　　处：《安徽卫生职业技术学院学报》2015年第5期64-65,共2页Journal of Anhui Health Vocational & Technical College

摘　　要：目的：：探讨内镜黏膜下挖除术（ESE）治疗消化道黏膜下肿瘤（SMT）的护理方法。方法：选择2013~2014年消化道黏膜下肿瘤101例进行内镜黏膜下挖除术的患者于术前准备、术中配合、术后病情观察及饮食指导。结果：101例患者中1例贲门和1例食管黏膜下肿瘤分别因肿瘤与肌层紧粘连无法分离、穿孔大无法补修而转至外科行手术治疗，余99例病变一次性完整切除。术中穿孔6例，其中1例转科行手术治疗，5例内镜下行有效缝合。术中出血0~50ml不等，无术后出血。ESE治疗后住院约3~15天，10例失访，其余89例患者随访1~24个月，未见复发。结论：充分的心理护理及术前准备、术后护理可以提高消化道黏膜下内镜治疗术后的治疗质量，减少并发症，促进患者早日康复。Objective：To explore the nursing methods of endoscopic mucosal resection （ESE） in the treatment of gastrointestinal submucosal tumor （SMT）. Methods：101 cases of digestive tract submucosal tumor in 2013-2014 were selected to carry out preoperative psychological nursing, preoperative evaluation and preoperative diet preparation;nursing cooperation during operation, postoperative observation, diet nursing and discharge guidance. Results：1 cases of cardia and 1 cases of esophageal mucosa tumor can not be separated due to tight adhesion between tumor and muscle, perforation unable to repair and transferred to the surgical department. Other 99 cases of lesions were resected completely one time. Perforation occurred in 6 cases, including 1 cases transferred for operation treatment, 5 cases were endoscopic sutured effectively. 0-50ml ranged from bleeding, no postoperative bleeding.After ESE treatment, 10 patients were followed up for 3-15 days, and the other 89 patients were followed up for 1-24 months, no recurrence was found.Conclusion：Adequate mental nursing,preoperative and preoperative nuring can promote the therapy quality after the operation of therapeutic endoscopy of gastrointestinal sub mucosal tumor, reduce complications and promote early recovery of patients.

关 键 词：内镜黏膜下挖除术 黏膜下肿瘤 消化道 护理 

分 类 号：R473.73[医药卫生—护理学]