| 王丽,胡建琴.两种肠道深部子宫内膜异位症腹腔镜手术护理[J].上海护理,2016,16(8): |
| 两种肠道深部子宫内膜异位症腹腔镜手术护理 |
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| DOI： |
| 中文关键词: 深部子宫内膜异位症 腹腔镜 肠切除吻合 病灶削除术 护理 |
| 英文关键词:Deep infiltrating endometriosis Laparoscopic Bowel resection and anastomosis Bowel shaving Nursing care |
| 基金项目: |
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| 摘要点击次数: 1943 |
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| 中文摘要: |
| 目的 探讨和比较腹腔镜下肠管部分切除吻合术和肠管病灶削除术两种术式治疗肠道深部子宫内膜异位症的临床护理特点。方法 回顾性分析2013年5月至2015年5月在复旦大学附属妇产科医院成功实施腹腔镜下肠道深部子宫内膜异位症肠管部分切除吻合术或肠管病灶削除术的121例患者的临床资料、术前和术后临床护理特征,探讨和比较两种不同手术护理观察要点。结果 肠管病灶削除术组平均住院(10.0±4.4)天,明显短于肠管部分切除吻合术(17.3±7.8)组；病灶削除术组术后留置导尿管(2.8±3.6)天,明显短于肠管部分切除吻合术(9.7±5.8)组；留置腹腔引流管(3.4±3.3)天,明显短于肠管部分切除吻合术(9.2±2.7)组。肠管病灶削除术组肠道恢复排气快、禁食时间短但各类细菌感染发生率比肠管部分切除吻合术组高。本研究中两组患者在年龄、体重指数和术后肠漏发生率中无明显差异。结论 腹腔镜下肠管部分切除吻合术和肠管病灶削除术都是治疗肠道深部子宫内膜异位症的有效方法,根据患者病情选择不同治疗方法。两种术式均需要术前术后精细护理和肠道相关特殊护理。 |
| 英文摘要: |
| Objective To investigate and compare the characteristics of clinical care of laparoscopic segmental bowel resection and anastomosis or laparoscopic shaving operation of colorectal deep infiltrating endometriosis. Methods Retrospectively analyzed the clinical characteristics and preoperative and postoperative care of 121 patients of colorectal deep infiltrating endometriosis who underwent laparoscopic segmental bowel resection and anastomosis or bowel shaving operation from May 2013 to May 2015 in the Obstetrics and Gynecology Hospital of Fudan University. Results The average hospital stay in bowel shaving group was (10.0±4.4)days, obviously shorter than in bowel resection and anastomosis(17.3±7.8) group. The average indwelling of urinary catheter was (2.8±3.6)days, much shorter than bowel resection and anastomosis(9.7±5.8) group. The average indwelling of peritoneal drainage-tube was(3.4±3.3)days, much shorter than bowel resection and anastomosis(9.2±2.7) group. Bowel shaving group had quicker intestinal exhaust and shorter fasting time after operation, but much higher incidence of bacteria infection than bowel resection group. There was no difference in age, BMI and intestinal fistula after operation in two groups. Conclusion Laparoscopic segmental bowel resection and anastomosis and bowel shaving operation are both effective for the treatment of colorectal deep infiltrating endometriosis, we can chose different management according to different severity of different patient. Specific pre and postoperative care and intestinal nursing were needed. |
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