胸主动脉杂交手术的配合体会  

Experience in coordination in thoracic aortic hybrid surgery

作　　者：张雨嫣 付琴[1] 刁文杰 施超[2] 余朝文[3] 刘学刚[2] ZHANG Yu-yan;FU Qin;DIAO Wen-jie;SHI Chao;YU Chao-wen;LIU Xue-gang(Operating Room,the First Affiliated Hospital of Bengbu Medical College,Bengbu,Anhui 233004,China;不详)

机构地区：[1]蚌埠医学院第一附属医院手术室,安徽蚌埠233004 [2]蚌埠医学院第一附属医院心脏外科 [3]蚌埠医学院第一附属医院血管外科

出　　处：《中华全科医学》2022年第11期1978-1981,共4页Chinese Journal of General Practice

基　　金：安徽省科技攻关项目(1804h08020280);安徽高校自然科学研究重点项目(KJ2021A0820)。

摘　　要：目的探讨单纯胸主动脉腔内隔绝修复术(TEVAR)和杂交颈部血管转流+TEVAR手术的配合要点,提高手术效率和安全性。方法回顾总结2020年1月—2021年12月蚌埠医学院第一附属医院收治的130例主动脉病变的患者,其中101例行单纯TEVAR手术(单纯TEVAR组),29例行杂交颈部血管转流+TEVAR手术(杂交手术组)。统计2组患者性别、年龄、体重、身高及合并症,总结2种不同手术方式的术前准备、术中配合及体会等相关要点。结果2组所有患者均顺利完成手术,单纯TEVAR组手术时间为(116.32±37.15)min,术后住院时间为(7.45±3.88)d,术后腹股沟切口淋巴漏1例;杂交手术组手术时间为(261.07±57.39)min,术后住院时间为(11.66±6.32)d;2组患者均无严重并发症发生。结论杂交复合手术室的护士以高标准的术前准备、严格的术中及术后护理和规范、熟练的手术配合,可以提高TEVAR和杂交颈部血管转流+TEVAR手术的效率和手术安全性。Objective To explore the key points of cooperation between thoracic endovascular aortic repair(TEVAR)and hybrid cervical vascular bypass+TEVAR,so as to improve the efficiency and safety of the operation.Methods A total of 130 patients with the aortic disease treated in the First Affiliated Hospital of Bengbu Medical College from January 2020 to December 2021 were reviewed,including 101 patients underwent TEVAR surgery alone(the TEVAR group)and 29 patients underwent hybrid cervical vascular bypass+TEVAR surgery(the hybrid operation group).The gender,age,weight,height,complications,as well as the preoperative preparation,intraoperative cooperation and experience of the two different surgical methods were analysed.Results All patients in the two groups completed surgery.In the TEVAR group,the operation time was(116.32±37.15)min,the postoperative hospital stay was(7.45±3.88)days,and there was 1 case of postoperative inguinal incision lymphatic leakage.Meanwhile,in the hybrid operation group,the operation time was(261.07±57.39)min,and the hospital stay was(11.66±6.32)days.There were no serious complications in both groups.Conclusion Hybrid composite operating room nurses to high standards of preoperative preparation,intraoperative and postoperative nursing,and skilled operation coordination can improve the TEVAR and hybrid cervical vascular bypass+TEVAR operation efficiency and operation safety.

关 键 词：主动脉病变 胸主动脉腔内修复术 腔内隔绝修复术 手术配合 杂交手术室 

分 类 号：R472.3[医药卫生—护理学] R654.3[医药卫生—临床医学]