腹腔镜下超声引导微波凝固治疗肝癌护理.docVIP

腹腔镜下超声引导微波凝固治疗肝癌护理【摘要】 目的 探讨腹腔镜下超声引导微波凝固治疗肝癌的围手术期护理方法。方法 对6例肝癌患者进行腹腔镜下超声引导微波凝固治疗，通过术前有针对性的心理护理，术后严密观察，及时发现并发症，给予相应的护理措施。结果 本组术后发热1例，肝区疼痛3例，胸腔积液1例，经及时处理，全部治愈出院，未发生护理并发症，无住院死亡。结论 腹腔镜下超声引导微波凝固治疗肝癌是一项新的治疗技术，科学的围手术期护理，是提高治疗成功率、减少并发症的重要因素。 【关键词】肝肿瘤/治疗；肝肿瘤/护理；围手术期护理 Nursing during the peri-operation in the treatment of liver cancer with laparoscope ultrasonic guidance microwave coagulation therapy JIN Zi， ZHOU Xue-ling.The Third Affiliated Hospital Of Sun Yat-sen University,Guangzhou 510630,China 【Abstract】 Objective To study the nursing during the peri-operation in the treatment of liver cancer with laparoscope ultrasonic guidance microwave coagulation therapy.Methods 6 cases with laparoscope ultrasonic guidance microwave coagulation therapy，the corresponding measure was given at once after the complications were found by relative psychological nursing，and carefully observation after operation.Results There was 1 case with fever，3 cases with hepatic pain，1 case with pleural effussion.All of them were cured by prompt treatment and there were no nursing complications and no death in hospital.Conclusion Laparoscope ultrasonic guidance microwave coagulation therapy is a kind of new technique in the treatment of liver cancer and the scientific nursing during peri-operation is very important in increasing operation achievement ratio and decreasing complication. 【Key words】 Liver neoplasms/therapy;Liver neoplasms/nursing;Perioperative nursing 肝癌是最常见的恶性肿瘤之一，其年病死率位居恶性肿瘤的第2 位[1]。目前，手术切除仍是原发性肝癌(HCC)的首选根治性方法，但对多发病灶、严重肝硬化、病灶位置不佳或高龄患者，则不宜行手术切除，且手术切除后远期复发率也较高[2]。随着科学技术的发展应用与临床，各种微创疗法作用日益突出。其中，腹腔镜下微波凝固治疗(laparoscope microwave coagulation therapy，LMCT)是近来肝癌微创治疗的研究热点之一，此项技术将腹腔镜优势与肝癌微波消融的优势结合，既可避免开腹手术创伤大，并发症多的缺点， 又解决了经皮穿刺治疗存在盲区的问题，实现了最小的创伤下的最佳疗效。本文通过对我院2006年4月至2007年6月开展的LMCT治疗肝癌6例进行回顾性分析，总结术前术后护理对降低LMCT并发症的作用，供广大护理人员参考。 1 临床资料和方法 1．1 治疗对象 2006年4月至2007年6月，6例原发性肝癌患者在我院接受了LMCT，男5例，女1例，平均年龄63．3岁。肝功能Child分级：A 级5例，C 级1例。肿瘤结节9个，单发结节者4例，2个结节者1例，3个结节者1例。结节直径1．8～3．1 cm，平均(1