子宫动脉栓塞治疗子宫肌瘤术后并发症的原因分析及护理.docVIP

子宫动脉栓塞治疗子宫肌瘤术后并发症的原因分析及护理 　　摘要：目的探讨子宫动脉栓塞治疗子宫肌瘤术后并发症的原因及护理对策。方法回顾性分析2005年3月~2013年1月采用子宫动脉栓塞治疗的172例子宫肌瘤患者的临床资料。结果子宫动脉栓塞术后发生栓塞后综合征172例，阴道出血109例，腹胀、便秘12例，膀胱刺激征5例，血管迷走神经反射1例，肺栓塞1例。结论严密、细致地观察子宫动脉栓塞治疗子宫肌瘤术后患者的病情变化，并加以综合分析，能及早发现并发症并及时处理，从而可帮助临床正确施治，对提高并发症治愈率有重要意义。 　　关键词：子宫动脉；栓塞；子宫肌瘤；并发症；护理 　　Study on Treatment of Complications of Uterine Fibroids by Uterine Artery Embolization and Its Nursing 　　HU Fang1,YANG Qian1,LIU Xiao-ling2 　　(1.School of Nursing，Luzhou Medical College,Lu Zhou 646000，Sichuan,China;2.Department of Intervetional Ward，The Affiliated Hospital of Luzhou Medical College，Lu zhou 646000,Sichuan,China ) 　　Abstract：ObjectiveTo explore uterine artery embolization treatment of uterine fibroids cause of postoperative complications and nursing countermeasures.Methods The clinical data of 172 inpatients with uterine fibroid treatment by uterine artery embolization in Intervention Ward,from March,2005 to January,2013 were retrospectively analyzed. ResultsThere were 172 cases came up Postembolization syndrome,vaginal bleeding for 109 cases,abdominal distension constipation for 12 cases,bladder irritation in 5 cases,Vasovagal reflex in 1 case and also 1 case with pulmonary embolism(PE) Postoperative uterine artery embolism.Conclusion Carefully observing patients apostasis and comprehensively analyzed can be detected early complications and handle in time,it must has Important significance to improve the cure and to help clinical treats correctly. 　　Key words：Uterine artery;Embolism;uterine myoma;Complications;Nurse 　　子宫肌瘤（uterine myoma）是女性生殖系统最常见的良性肿瘤，多发生于育龄期女性，传统治疗方法包括药物治疗和外科手术治疗，药物治疗停药后容易复发子宫出血，手术治疗不被年轻患者尤其是未生育者所接受。法国学者(Ravina)首次报道子宫动脉栓塞术（uterine arterial embolization,UAE）用于治疗子宫肌瘤，由于UAE具有创伤小、愈合快、显著缓解症状和提高生活质量等优点，逐渐成为妇产科学和介入放射学的研究热点。但术后的并发症愈来愈受到人们关注[1],本文回顾性分析2005年3月~2013年1月采用子宫动脉栓塞治疗172例子宫肌瘤患者的临床资料，患者经UAE治疗后各种临床症状改善，同时也出现了一些副反应和并发症，结合文献，对并发症进行分析，现将结果报告如下。 　　1资料与方法 　　1.1一般资料本组172例患者，年龄25～48岁，平均39.5岁，5例治疗前无生育史。其中浆膜下肌瘤37例，肌壁间肌瘤116例，黏膜下肌瘤19例，肌瘤直径为2.5～9.8cm不等。患者