个性化护理配合广泛全子宫切除术治疗早期宫颈癌的临床效果观察.docx

个性化护理配合广泛全子宫切除术治疗早期宫颈癌的临床 效果观察 蒋好周小凤左静 ［摘 要］目的探讨个性化护理配合广泛全子宫切除术治疗早期宫颈癌的临 床效果。方法 选取我院妇产科20□年2月?2013年2月收治的40例早期宫颈 癌行LPL+TLRH治疗患者作为研究组，另选取同期40例经腹行广泛全子宫切除 术联合盆腔淋巴结清扫术(APL+ARH)的宫颈癌患者作为对照组。对照组进行 常规护理，观察组在对照组基础上针对性进行护理。对比两组并发症及术屮情况。 结果 ①与对照组相比，研究组手术时间更短，术屮出血量更少(Plt;0.01或 Plt;0.05)o②两组切除淋巴结数目、术后并发症比较，Pgt;0.05,差异无统计 学意义。结论护理配合LPL+TLRH治疗早期宫颈癌具有手术时间短，术屮出血 量少等优点。 ［关键词］个性化护理宫颈癌广泛全子宫切除术 盆腔淋巴结清扫 术 DOI:10.3760/cma.j.issn.1672-7088.2014.27.54 作者单位：621100四川绵阳，四川省三台县人民医院 ［作者简介］蒋好(1978-),女，本科，就职于四川省三台县人民医院。 周小凤，左静：就职于四川省三台县人民医院。 The Clin ical Effect of Pers on alized Nursing Combi ned with Radical Hysterectomy in Treating Early Cervical Cancer Jiang Hao, Zhou Xiaofeng, Zuo Jing Abstract: Objective To explore the clinical effect of personalized nursing combined with radical hysterectomy in treating early cervical cancer. Methods 40 patients who had early cervical cancer and received LPL + TLRH〃 treatment in the Department of Maternity in authorrsquo;s hospital from February 2011 to February 2013 were selected as the APL group. Meanwhile other 40 early cervical cancer cases who received trans-abdominal extensive hysterectomy and pelvic lymphadenectomy (APL + ARH) were selected as the control group? The control group adopted regular nursing while the study group adopted personalized nursing. The complications and operation indexes between the two groups were compared. Results ① Compared with the control group, the study group has shorter operative time, less blood loss (P lt;0.01 or P lt;0.05). ② The difference of nu mber of lymph no des removed and the postoperative complications between the two groups was not statistically significa nt, Pgt; 0.05. Conclusi on Pers on alized nursing in tegrated with “ LPL + TLRH treatment has the advantage of taking shorter operative time, less blood loss and so on in curing early cervical cancer. Key words: personalized nursing; cervical cancer; radical hysterectomy; pelvic lymphade nectomy APL+ARH是治疗早期宫颈癌的标准术式⑴。现今，随腹腔镜技术的不断发 展和成熟，它在临床的应用也越来越广泛。本文，旨在