食管内镜黏膜切除术的护理配合以及标本管理  

Nursing cooperation and specimen management in esophageal endoscopic mucosal resection

作　　者：余爱玲[1] 徐成好[1] 季春妍 张喆浩[2] 葛洋[1] Yu Ailing;Xu Chenghao;Ji Chunyan;Zhang Zhehao;Ge Yang(Department of Digestive Endoscopy,the First People's Hospital of Lianyungang of Jiangsu Province,Lianyungang 222000,China;Department of Internal Medicine,the First People's Hospital of Lianyungang of Jiangsu Province,Lianyungang 222000,China)

机构地区：[1]江苏省连云港市第一人民医院消化内镜,222000 [2]江苏省连云港市第一人民医院内科病区,222000

出　　处：《中华现代护理杂志》2020年第21期2934-2936,共3页Chinese Journal of Modern Nursing

摘　　要：目的探讨食管隆起病变行内镜黏膜切除术(EMR)的护理技术配合及标本管理对策。方法采用便利抽样法收集2017年3—11月因食管隆起性病变在江苏省连云港市第一人民医院行内镜下黏膜切除术的17例患者资料,对手术配合及切除活体标本的管理进行归纳总结。结果17例患者行EMR病灶完整切除,其中3例患者术中渗血较多,予电凝止血及钛夹缝合。无穿孔及术后出血等并发症。术后的活体标本均完整收回,病理诊断结果为息肉样瘤变6例,平滑肌瘤11例。患者均痊愈出院。结论在食管EMR术中有效的护理措施,有利于内镜护理配合的持续改进,提高EMR手术成功率,保证医疗护理安全,值得临床推广。Objective To explore the nursing technical cooperation and specimen management countermeasure of endoscopic mucosal resection(EMR)for esophageal protuberant lesions.Methods From March to November 2017,we gathered the data of 17 esophageal protuberant lesions patients with EMR selected by convenience sampling in the First People's Hospital of Lianyungang,Jiangsu Province.We summarized the surgical cooperation and the management of living specimen excision.Results A total of 17 patients underwent complete resection of lesion with the EMR,of which 3 patients had massive bleeding during operation with electrocoagulation hemostasis and titanium clip sutures.There were no complications,such as perforation and postoperative hemorrhage.All living specimens were recovered completely after the operation.Pathological diagnosis results showed 6 cases of polypoid lesions and 11 cases of leiomyoma.All patients were cured and discharged.Conclusions Effective nursing measures during esophageal EMR are conducive to continuous improvement of endoscopic nursing cooperation,increasing the success rate of EMR surgery and ensuring the safety of medical care which is worthy of clinical promotion.

关 键 词：内镜黏膜切除术 护理配合 标本管理 

分 类 号：R473.6[医药卫生—护理学]