腹腔镜腹膜阴道成形术(罗湖术式)直肠损伤护理.docVIP

精品论文 参考文献 腹腔镜腹膜阴道成形术(罗湖术式)直肠损伤护理 盖炼炼1 乐爱文（通讯作者）1 王中海1 单莉莉1 卓蓉1 罗光楠2 　　（1广东医学院附属深圳南山医院妇科 518052） 　　（2广东医学院附属深圳罗湖医院妇科 广东深圳 518052） 　　【摘要】目的：探讨腹腔镜下腹膜阴道成形术（罗湖术式)直肠损伤发生的原因，预防和处理的方法及护理。方法：对罗湖术式所出现的直肠损伤围手术期护理资料进行回顾性分析。结果：306例罗湖术式出现直肠损伤13例，经术中直接修补和术后直肠阴道瘘修补术后均愈合。结论：罗湖术式术中直肠损伤直接修补及术后直肠阴道瘘保留瘘口旁组织及切除瘘管及周围疤痕。围手术期护理对保障手术成功有重要临床意义。 　　【关键词】护理 腹腔镜 腹膜阴道成形术（罗湖术式) 直肠损伤 　　【中图分类号】R473.6 【文献标识码】A 【文章编号】1672-5085（2014）18-0059-02 　　Nursing of rectal injuries resulting from laparoscopic peritoneal vaginoplasty (Luohu operation) 　　Gai Lian lian1, Le Aiwen *1, Wang Zhonghai 1, Shan Lili 1, Zhuo Rong 1, Luo Guang nan 2 　　1Department of Obstetrics and Gynecology, Affiliated Shenzhen Nanshan Peoplersquo;s Hospital of Guaongdong Medical University, Shenzhen 518052, China 　　2Department of Obstetrics and Gynecology, Affiliated Shenzhen Luohu Peoplersquo;s Hospital of Guaongdong Medical University, Shenzhen 518052, China 　　*Corresponding author: Le Aiwen 　　【Abstract】 Objective: To explore the causes of rectal injuries during laparoscopic peritoneal vaginoplasty (Luohu operation) and assess measures and nursing that can be taken to increase safety of the operation. Methods: Data of patients with rectal injuries that occurred during Luohursquo;s vaginoplasty were analyzed retrospectively.Results: Three hundred and six patients received Luohursquo;s vaginoplasty. Rectal injuries occurred in 13 patients, All patients recovered after direct repair or postoperative rectovaginal fistula repair.Conclusion: Retaining the tissues or scars around the rectovaginal fistula can be successfully repaired, either when they are recognized during the operation or within a few months postoperatively. Preoperative and postoperative nursing are very important for rectal injuries. 　　【Key words】nursing laparoscope peritoneal vaginoplasty (Luohursquo;s operation) rectal injury 　　各种人工阴道成形术是治疗先天性无阴道症﹙MRKH﹚的主要治疗方法。据估计我国有此类患者约15万人左右，现在有越来越多的医院和医生开展阴道成形手术。目前国内外人工