腹膜后肿瘤患者血管造影及介入栓塞治疗的观察及护理

目的探讨腹膜后肿瘤行血管造影及介入栓塞治疗的意义及护理措施。方法回顾性总结分析74例腹膜后肿瘤患者行血管造影及介入栓塞治疗后的相关指标，总结临床护理经验。结果54例患者动脉血管造影阳性，在介入导管室行PVA颗粒、明胶海绵颗粒、微钢圈栓塞等栓塞治疗；54例患者均未发生穿刺部位出血及感染，仅有3例出现局部淤血、淤斑，栓塞后发热23例，不同程度腰背酸痛16例，腹痛15例，尿潴留4例，无异位动脉栓塞等并发症。结论腹膜后肿瘤行血管造影能清晰地显示肿瘤血供来源与周围血管及器官的关系，介入栓塞能有效地减少术中出血，一定程度的缩小瘤体，从而降低手术的盲目性和危险性。护理的关键在于认真做好血管造影及介入栓塞前准备，造影及介入栓塞后密切观察病情变化，做好穿刺局部护理，预防感染及并发症发生。

Observation and nursing of digital subtration angiography and embolization treatment in the patientswith retroperitoneal tumor

Objective To study the nursing of digital subtration angiography and embolization treatment in the patients with retroperitoneal tumor. Methods Clinical data of 74 patients with retroperitoneal tumor （74 patients underwent digital subtration angiography, 54 patients underwent digital subtration angiography and embolization treatment） were analyzed retrospectively. Results Totals of 54 patients received angiography and positive cases were treated with interventional embolization. All of the 54 patients had no ectopic artery embolism, puncture site hemorrhage and infection, 23 cases had fever after embolization,16 cases had different levels of low back pains;15 cases were abdominal pains, 4 cases were urinary retention. Conclusions Angiography can clearly display the tumor blood supply, peripheral blood vessels and organ relationships in retroperitoneal tumor. Interventional embolization can effectively reduce the bleeding during the operation and the size of tumor, so these methods can decrease the blindness and risk of operation. The key job of nursing is to prepare for operation before angiography and interventional embolization, closely observe the changes of patients after angiography and interventional embolization.