局限性肾癌的术后护理研究进展  

Research progress on postoperative care for localized renal cell carcinoma

作　　者：付琴[1,2] 何其英 张兴明[1] 范冬萍 古鹏[1,2] Fu Qin;He Qiying;Zhang Xingming;Fan Dongping;Gu Peng(Department of Urology,Institute of Urology,West China Hospital,Sichuan university/Sichuan Clinical Research Center for kidney and urologic diseases,Chengdu 610041,China;West China School of Nursing,Sichuan University,Chengdu 610041,China)

机构地区：[1]四川大学华西医院泌尿外科,泌尿外科研究所/四川省肾病与泌尿系统疾病临床研究中心,成都610041 [2]四川大学华西护理学院,成都610041

出　　处：《保健医学研究与实践》2024年第12期133-138,共6页Health Medicine Research and Practice

基　　金：国家自然科学基金资助项目(82103097)。

摘　　要：局限性肾癌(LRCC)是指肿瘤病灶局限于肾实质内,尚未发生淋巴结或远处转移的早期肾细胞癌类型。腹腔镜保留肾单位手术(LNSS)可在保留更多正常肾实质的基础上,实现与根治性肾切除术类似的无瘤生存目标,但术后仍会对患者的生理和心理造成一定损伤。通过实施LNSS术后个体化、全面化和整体化的护理措施,能够有效预防和降低术后并发症的发生风险,对改善LRCC患者的远期生存状况具有积极意义。本文对LRCC患者LNSS术后护理措施进行综述,以期为制定相关护理干预决策提供借鉴和参考。Localized renal cell carcinoma(LRCC)refers to early-stage renal cell carcinoma in which the tumor is confined to the kidney without lymph node or distant metastasis.Laparoscopic nephron-sparing surgery(LNSS)achieves tumor-free survival goals comparable to radical nephrectomy while preserving more normal renal parenchyma.However,LNSS may cause physio-logical and psychological trauma to patients postoperatively.Implementing individualized,comprehensive,and holistic nursing measures after LNSS can effectively prevent and reduce the risk of postoperative complications,which has a positive impact on improving the long-term survival outcomes of patients with LRCC.This article reviews postoperative nursing strategies for LRCC patients undergoing LNSS,aiming to provide support and references for formulating nursing interventions.

关 键 词：局限性肾癌 腹腔镜保留肾单位手术 并发症护理 心理护理 

分 类 号：R473.6[医药卫生—护理学]