内镜下十二指肠乳头切除术的规范化护理研究  

Standard Nursing Management for Endoscopic Papillectomy

作　　者：王丽 徐丽娜[1] 祁可 王伟 崔明[1] 

机构地区：[1]上海市杨浦区殷行社区卫生服务中心,上海 [2]上海长海医院消化内镜中心,上海

出　　处：《临床医学进展》2017年第2期72-77,共6页Advances in Clinical Medicine

摘　　要：目的:探讨内镜下十二指肠乳头切除术的护理要点。方法:系统回顾2007年6月至2015年12月在长海医院消化内镜中心接受EP治疗患者的临床资料及治疗过程,分析EP术前、术中、术后护理特点。结果:本研究共纳入接受EP治疗的十二指肠乳头病变患者43例,其中38例(88.4%)使用侧视镜完成,2例(4.6%)使用直视镜完成,3例(7.0%)在侧视镜操作失败后更换直视镜完成;术中有27例(62.8%)行ERCP,其中12例放置胆管支架,20例放置胰管支架;有26例(60.5%)发生术中出血;术后有13例(30.2%)出现腹痛,4例(9.3%)发生胰腺炎,5例(11.6%)发生延迟性出血并行内镜下止血治疗,6例发生术后远期胆管狭窄。结论:规范化的护理及准确的手术配合是确保EP手术成功、降低并发症的关键。Objective: To explore the highlight on nursing of endoscopic papillectomy. Methods: Patients who were treated by EP with duodenal papilla lesion in our endoscopy center from June 2007 to De-cember 2015 were enrolled. The clinical characteristics and technical features were analyzed. Results: 43 patients treated by EP with duodenal papilla lesions were enrolled. 38 (88.4%) cases were completed with side-viewing endoscope, 2 (4.6%) cases were completed with forward- viewing endoscope, 3 (7.0%) cases were completed with forward-viewing endoscope after failure with side-viewing endoscope. 27 (62.8%) cased accepted ERCP during operation, 12 (27.9%) cases were placed bile duct stents, 20 (46.5%) cases were placed pancreatic duct stents. 26 (60.5%) cases occurred bleeding in operation. 13 (30.2%) cases had abdominal pain after operation, 4 (9.30%) cases had postoperative pancreatitis, 6 cases (14.0%) had long term bile duct stricture. Conclusion: The key to successful endoscopic papillectomy lies in standardized nursing management and accurate operating cooperation.

关 键 词：十二指肠乳头内镜下切除术 护理 

分 类 号：R73[医药卫生—肿瘤]