膀胱癌术后丝裂霉素膀胱内灌注的方法及护理

目的探讨膀胱癌术后行膀胱内灌注化疗药物的方法及护理措施。方法对63例膀胱癌术后患者采用丝裂霉素膀胱内灌注化疗，预防肿瘤复发，并加强心理护理、进行回顾性总结、分析。结果63例患者坚持完成全程化疗，两年内复发的有3例，复发率为4．7％，4例轻度尿痛，3例尿道不适，1例尿道狭窄，经对症处理后均治愈出院，有效率达95．3％。结论丝裂霉素膀胱内灌注能有效预防肿瘤复发，减少并发症的发生，提高患者的生活质量。而细致的心理护理及熟练的操作技术是预防及减轻患者不适、完成全程灌注化疗的关键。

The nursing and methods of Intravesical instillation with mitomycin after the operation of bladder cancer

Objective To investigate the methods of Intravesical instillation with mitomycin after the operation of bladder cancer , so that to improve the nursing. Methods 63 cases are treated intravesical instillation with mitomycin after the operation of bladder cancer, and prevent tumor recurrence, strengthen the metal care, retrospectively analyze.Resuls 63 cases insist to complete the chemotherapy, within 2 years 3 cases relapse,recurrence rate 4.7%,4 cases with slight odynuria, 3 cases with urethral sick ,1 cases with urethral strictures .After symptomatic treatment all are cured and discharged from hospital .the effective rate reaches 95.3%.Conclusions the intravesical instillation with mitomy-cin is effective to prevent tumor recurrence; detailed psychological nurse and skilled operation counts heavily on relieving the patients and completing the whole chemotherapy.