| 经肛门内镜显微手术切除直肠肿瘤的围手术期护理 |
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| 引用本文： | 柏艳芳,李凤姣,周怡,吴枚禅.经肛门内镜显微手术切除直肠肿瘤的围手术期护理[J].现代临床护理,2014(8):31-33. |
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| 作者姓名： | 柏艳芳 李凤姣 周怡 吴枚禅 |
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| 作者单位： | 中山大学肿瘤防治中心,广东广州510060 |
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| 摘 要： | 目的探讨经肛门内镜显微手术(transanal endoscopic microsurgery,TEM)在直肠肿瘤切除术中的围手术期护理要点。方法对135例TEM切除直肠肿瘤手术护理经验进行回顾性分析和总结。结果患者手术顺利,手术效果满意,无复发病例,4例出现术后伤口感染,其中3例处理后好转,1例患者术后病理结果显示低分化腺癌,择期另行手术。结论充分的术前准备、术中合理科学的体位安置、熟悉手术步骤及配合程序、熟练的仪器操作以及术后并发症护理是手术顺利完成的关键。
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| 关 键 词： | 经肛门内镜显微手术 直肠肿瘤 围手术期 护理 |
Perioperative nursing of patients undergoing resection of rectal neoplasms with transanal endoscopic microsurgery |
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| Bai Yanfang,Li Fengjiao,Zhou Yi,Wu Meichan.Perioperative nursing of patients undergoing resection of rectal neoplasms with transanal endoscopic microsurgery[J].Modern Clinical Nursing,2014(8):31-33. |
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| Authors: | Bai Yanfang Li Fengjiao Zhou Yi Wu Meichan |
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| Affiliation: | Bai Yanfang, Li Fengjiao, Zhou Yi, Wu Meichan |
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| Abstract: | Objective To introduce the application and the surgical cooperation of the transanal endoscopic microsurgery in resection of rectal neoplasms and summarize the nursing points.Method The clinical histories of 135 patients undergoing resection of rectal neoplasms with transanal endoscopic microsurgery were reviewed and analyzed.Results All the surgeries were successful.Four patients developed with wound infections,three of them getting better after treatment and one of them diagnosed with poorly differentiated adenocarcinoma and selected another operation.Conclusion Well-prepared pre-operation,skillful operation and instrument procedure and postoperative nursing are critical to the success of operations. |
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| Keywords: | transanal endoscopic microsurgery rectal neoplasms perioperation nursing |
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