经鼻咽旁插植后装近距离加量放疗鼻咽癌的护理.pdfVIP

Clinical 现代临床护理(M0dem 经鼻咽旁插植后装近距离加量放疗鼻咽癌的护理 刘宇英，覃惠英，吴剑辉，陈玉友，刘赵梅，陈明远 (中山大学附属肿瘤医院，广东广州，510060) 【摘要】 目的观察经鼻咽旁插植后装近距离加量放疗鼻咽癌的疗效及总结护理要点。方法2005年9月一2006 年9月对23例鼻咽癌患者进行经鼻内镜鼻咽、咽旁插植后装放疗。配合做好插植前、中、后的护理。结果患者均成功 将施源器准确插入肿瘤区，插植位置100％合格，术后未发生大出血、感染等手术并发症及腭穿孔、鼻咽坏死等严重后装放 疗并发症；随访3—15月肿瘤消失，无肿瘤局部复发，无远处转移。结论经鼻内镜鼻咽、咽旁插植组织近距离放射治疗 效果好．插植前应做好患者的心理护理及熟悉手术配合的要领；术中密切观察患者的生命体征，预防患者鼻腔出血并保持 呼吸道通畅；术后加强后装放疗并发症观察及预防，可确保患者顺利进行治疗。 【关键词]后装放疗；鼻咽癌；护理 【中图分类号] R473．76 [文献标识码】B To the ofinterstitial on and tumors 【Abstract】0bjecfivestudycurativeeffect brachytherapynasopharynxparapharynx in andsummarigethe of them．Results23 carcinoma to patienb experienceearing nasopharyngealpatientsduringSept．2005 2006weretreatedwithinterstitial nasal intothetumor Sept． braehytherapybyinsertingendoscope and caresweleconducted．ResultsThe Was insertedintothetumor intraopemtivepostoperative endoscopesuccessfully regions inall and the wereno of and hemorrhea，infections，palatalperforationnasopharynxpharyngeal patient8．Therecomplications necrosis．3—15months showedthetumors local anddistant postoperativefonow-up disappeared，withoutrelapse metaptosis． ConclusionsInterstitial nasal intothetumor iseffectivein tumors．The braehytherapybyinsertingendoscope regions treating c哪shouldinclude mentalcareandfamiliarizationwith forthe nursing preoperational cooperativekeypoints surgery． observationofvital and nasal andunobstructed intraoperative signspreventionagainst