子宫托对老年盆腔脏器脱垂患者的临床应用及观察.docVIP

精品论文 参考文献 子宫托对老年盆腔脏器脱垂患者的临床应用及观察 赵燕萍 　　（自治区人民医院妇科 新疆乌鲁木齐 830001） 　　【摘要】目的 探讨32例中老年女性盆腔脏器脱垂患者，采用阴道放置子宫托临床疗效观察及护理。方法 对于临床症状较重,伴有其他合并症的年老体弱、手术风险高、不宜手术者，经改用阴道放置子宫托后症状改善，护理要点，放置子宫托前评估盆腔功能，与病人及家属有效沟通取得配合，指导并教会病人及家属，如何放置和取出子宫托的方法及自我护理。结果 经门诊跟踪随访，32例病人阴道放置子宫托后，感觉舒适，活动自如，目前尚未发现不良反应。结论 子宫托是治疗中老年盆腔脏器脱垂及尿失禁的，一种风险低并发症少的有效治疗工具，通过对子宫托的使用和护理方法，进行科学咨询和指导，人们对它的作用有一种全新认识，只要掌握好临床适应症和子宫托放置取出技巧，患者就可以顺利的使用这种简单安全的工具，恢复功能并改善生活质量。 　　【关键词】子宫托 盆腔脏器脱垂 操作及护理 　　【中图分类号】R473.71 【文献标识码】A 【文章编号】2095-1752（2014）10-0056-02 　　Observition of clinical applications of Pessary for pelvic organ prolapse in the elderly patients 　　Zhao Yanping 　　Xinjiang Autonomous Region Peoples Hospital Urumqi 830001 　　【Abstract】 Objective: To study nursing observation and clinical efficacy of Pessary for pelvic organ prolapse in the elderly patients . Methods: pations with severe clinical symptoms , accompanied by other complications of frail, high surgical risk , difficult surgery, symptoms used vaginal pessary placement , and care points before placing a pessary to assess pelvic function , and effective communication with the guide and teach patients and their families how to place and remove the pessary and self-care . Results: 32 patients put with vaginal pessary , comfort , freedom of movement , has not yet found adverse reactions. Conclusion pessary was the treatment of pelvic organ prolapse and urinary incontinence in the elderly , and with low complication less effective therapeutic tool , through the use of pessaries and care , scientific advice and guidance role in it there is a new understanding , as long as the master of clinical indications and remove the pessary placement techniques , patients can successfully use this simple security tools to restore function and improve quality of life. 　　【Key words】 pessary pelvic organ prolapse operation and care 　　在妇科盆腔脏器脱垂类疾病中，对于青中年盆腔脏器损害程度较轻患者，临床上妇科医生主要靠手术干预来，治疗盆腔脏器脱垂和尿失禁，如传统意义上行经阴道子宫切除术，随着盆底学的发展，应