ESD治疗伴发食管胃静脉曲张的食管早癌及癌前病变围术期护理经验  

Perioperative nursing experience of early esophageal cancer and precancerous lesions associated with esophageal and gastric varices treated with ESD

作　　者：吴慧银 刘晓冰[1] 杜康 杜健 王盈盈[1] 陈炫[1] Wu Huiyin;Liu Xiaobing;Du Kang;Du Jian;Wang Yingying;Chen Xuan(Department of Gastroenterology,The First Medical Centre of Chinese PLA General Hospital,Beijing 100853,China)

机构地区：[1]解放军总医院第一医学中心消化内科医学部,北京100853

出　　处：《中华胃肠内镜电子杂志》2024年第4期273-275,共3页Chinese Journal of Gastrointestinal Endoscopy(Electronic Edition)

摘　　要：目的总结内镜黏膜下剥离术(ESD)治疗伴发食管胃静脉曲张(GOV)的食管早癌及癌前病变围术期护理经验。方法回顾性分析2016年9月至2023年12月经解放军总医院第一医学中心消化内科医学部行ESD治疗伴发GOV的食管早癌及癌前病变患者的临床资料,并对患者围术期的相关护理要点进行总结。结果所有患者均成功进行了ESD及GOV治疗,术后病理提示所有患者均实现治愈性切除。其中2例患者术后出现ESD创面出血,给予内镜下电凝止血。整个围术期,给予全面细致的护理,所有患者均于术后恢复良好,均未发生严重并发症及死亡等情况。结论ESD治疗伴GOV的食管早癌及癌前病变安全有效;完善的围术期护理,有助于降低并发症的发生,提高病患的生活质量。Objective To summarize the perioperative nursing experience of endoscopic submucosal dissection(ESD)for esophageal early cancer and precancerous lesions associated with esophagogastric varices(GOV).Methods Clinical data of patients with esophageal early cancer and precancerous lesions accompanied by GOV undergoing ESD treatment in Department of Gastroenterology,First Medical Center,PLA General Hospital from September 2016 to December 2023 were retrospectively analyzed,and the key points of perioperative nursing were summarized.Results All patients were successfully treated with ESD and GOV,and postoperative pathology indicated that all patients achieved curable resection.Among them,2 patients had ESD wound bleeding after operation and were given endoscopic electrocoagulation.During the whole perioperative period,all patients were given comprehensive and meticulous nursing care.All patients recovered well after operation,and no serious complications or death occurred.Conclusion ESD is safe and effective in the treatment of esophageal early cancer and precancerous lesions with GOV.Perfect perioperative nursing is helpful to reduce the occurrence of complications and improve the quality of life of patients.

关 键 词：内镜黏膜下剥离术 食管胃静脉曲张 食管早癌 护理 

分 类 号：R473.6[医药卫生—护理学]