宫颈癌动脉介入新辅助化疗后的护理体会

Nursing of the patients with cervical cancer after intra-arterial neoadjuvant chemotherapy

目的探讨宫颈癌动脉介入新辅助化疗术后不良反应和护理要点。方法2006年1月至2008年1月，我院60例Ⅰb2-Ⅱb期宫颈癌患者行子宫动脉介入栓塞化疗，对盆腔介入化疗后的宫颈癌患者予以密切观察及护理。结果60例行动脉介入化疗的宫颈癌患者无严重并发症发生，经介入化疗1～2个疗程后进行宫颈癌根治术均获得成功，术中出血明显减少，平均出血量为220ml。结论动脉介入治疗宫颈癌效果好，提高了宫颈癌根治术的成功率，介入治疗术后的观察及护理，是防止并发症的重要环节。

Objective To investigate the key point of observation and nursing of the postoperative patients with cervical cancer who received intra-arterial neoadjuvant chemotherapy. Method From January 2006 to January 2008, 60 cases with primary cervical carcinoma in stageⅠb2-Ⅱb received intra-arterial Chemoembolization. All the patients who received arterial intervention chemotherapy were careful nursing. And the side effects of arterial intervention chemotherapy were also observed. Besult No serious complications occurred after arterial intervention chemotherapy. The operations of all 60 patients who received radical hysterectomy after 1-2 courses of intra-arterial neoadjuvant chemotherapy were success. The intraoperative bleeding was reduced apparently, and the average bleeding volume was 220ml. Condutfioa The intra-arterial neoadjuvant chemotherapy is an effective and safe method which could increase achievement ratio of radical hysterectomy of cervical. Moreover, the postoperative observation and nursing of intra-arterial chemotherapy is the key point of prevention against postoperative complication.