经腹和腹腔镜下子宫肌瘤剔除术的护理体会

The experience in nursing patients after transabdominal myomectomy or laparoscopic myomectomy

目的:探讨经腹和腹腔镜下子宫肌瘤剔除术后的护理经验。方法:回顾性分析39例经腹子宫肌瘤剔除术患者和57例腹腔镜下肌瘤剔除术患者的临床及护理资料,在护理过程中采用术前心理辅导、对症处理及出院指导等护理措施。结果:全部病例手术顺利,术后患者恢复良好,未出现并发症,均痊愈出院。腹腔镜下肌瘤剔除术组术后发热、术后使用止痛剂及住院时间情况均低于经腹子宫肌瘤剔组,差异有统计学意义(P<0.05)。结论:根据患者的不同术式,采取有针对性的护理措施,可有效避免手术并发症,促进患者如期康复。腹腔镜下肌瘤剔除术患者具有恢复快的优势。

Objective： To investigate the nursing experience of transabdominal myomectomy or laparoscopic myomectomy. Methods： Clinical and nursing data of 39 patients involved with transabdominal myomectomy and 57 patients involved with laparoscopic myomectomy were analyzed retrospectively. In the course of nursing, we gave them psychological counselling, guidance symptomatic treatment and discharged from hospital care, and other measures. Results： All patients were operated successfully, recovered well, were cured without complications, and discharged. The indications of fever, using analgesic and length of stay after laparoscopic myomectomy were less than that after transabdominal myomectomy. There was siguifi cant difference （P〈0.05）. Conclusion： Based on the different surgical type and taking care of targeted measures, the complications can be effectively avoided. Laparoscopic myomectomy can remove myoma of uterus in patients with the advantages of quick recovery.