经胼胝体穹隆间入路切除下丘脑错构瘤手术的护理配合

目的：总结经胼胝体穹隆间入路切除下丘脑错构瘤的手术护理经验，以提高手术配合质量，减少手术相关并发症的发生。方法回顾性分析4例经胼胝体穹隆间入路切除下丘脑错构瘤手术的护理配合情况，包括术前准备、体位管理、综合保暖措施以及术中配合等。结果4例患儿经过手术治疗后均取得较好的疗效，术后均未发生颅内感染，症状得到明显缓解。由于肿瘤生长的位置特殊，全部切除者3例，大部切除者1例。结论充分的术前准备、术前心理护理及干预、正确的体位摆放、合理的术中综合保温措施以及娴熟的手术配合是确保手术顺利进行的关键因素。

Nursing cooperation in the operation of hypothalamic hamartoma resection through transcallosal interforniceal approach

Objective To summarize the experience of nursing cooperation during the operation of hypothalamic hamartoma resection through transcallosal interforniceal approach , in order to improve quality of cooperation in the operation and reduce the incidence of surgery-related complications .Methods The situation of nursing cooperation in four patients undergoing hypothalamic hamartoma resection through transcallosal interforniceal approach was analyzed retrospectively , including preoperative preparation , body position management , comprehensive heat preservation measures , collaboration in operation and others .Results Four patients obtained the good curative effect after the surgical treatment , whose symptoms were relieved , without postoperative intracranial infection .There were total removal of three patients and partial removal of one patient because of the special position of tumor .Conclusions Sufficient preoperative preparation , preoperative psychological care and intervention , correct body position , reasonable application of comprehensive heat preservation measures in the operation and proficient operation cooperation are key factors to ensure the success of operation.