舌癌放射性^(125)I粒子组织间植入的护理体会  

Nursing experience of interstitial ^(125)I implantation applied in tongue cancer

作　　者：陈育贞[1] 马育璇[1] 王东方[2] 黄代营[3] 

机构地区：[1]中山大学附属第一医院手术室,广州3510080 [2]中山大学附属第一医院耳科,广州3510080 [3]中山大学附属第一医院口腔科,广州3510080

出　　处：《中华口腔医学研究杂志（电子版）》2017年第3期189-191,共3页Chinese Journal of Stomatological Research(Electronic Edition)

摘　　要：目的探讨放射性^(125)I粒子植入治疗舌癌的围术期护理要点及方法,提高护理质量。方法选择2012年6月至2014年8月,在计算机体层摄影术(CT)引导下行^(125)I放射性粒子植入术的5例舌癌患者的围手术期护理包括术前心理支持、术中熟练配合、术后观察护理、并发症的预防及射线防护知识的宣教。结果 5例患者顺利完成粒子植入,平均每例植入27.6枚粒子。1例患者出现短暂出血反应,2例患者出现轻度咽喉部疼痛。手术后1~4个月复查CT,局部控制良好,随访6~25个月,植入区域未见肿瘤复发。结论 CT引导下^(125)I放射性粒子植入治疗舌癌安全可靠,创伤小,控制癌病灶及颈淋巴结转移近期效果满意。医护人员熟练的操作技能,术前做好充分的准备及患者心理支持,术中配合准确,密切观察病情,预防并发症的发生及个人射线防护等都是手术治疗成功的关键。Objective To explore the nursing method and keynotes of interstitial ^125I implantation in treating tongue cancer,for improving the nursing quality. Methods To discuss and summarize the preoperative psychological support,skilled operation,postoperative observation and nursing,prevention of complications and radiation protection education in five cases of tongue cancer received CT-guided ^125I interstitial implantation from Jun 2012 to Aug 2014. Results The operations in 5 patients were successful and the average number of seeds was 27.6. One patient had transient hemorrhage and two patients had dysphagia. All cases had CT scanned 1-4 months after the surgery and had followed-up visit for 6-25 months. No recurrence in the target area was found. Conclusions CT-guided ^125I implantation is an effective and safe method for treating tongue cancer. It is a safe,reliable and minimally invasive surgery which is satisfying in controlling primary lesion and lymphatic metastasis in neck in a short term. For the success of the operation, it′ s vitally important that the medical staff have goodoperation skills, preoperative preparation,phychological support for patients,precise cooperation and protective measures of X-rays as well as careful observation of the disease to prevent the complication.

关 键 词：舌癌 放射疗法 ^125I粒子植入 护理 

分 类 号：R473.73[医药卫生—护理学]