腹腔镜子宫肌瘤剔除术后临床观察及护理

Nursing of patients with hysteromyoma treated by laparoscopic myomectomy

目的观察腹腔镜子宫肌瘤剔除术效果及总结临床观察及护理要点。方法对75例子宫肌瘤患者实施腹腔镜子宫肌瘤剔除术,并给予针对性的护理。结果腹腔镜子宫肌瘤剔除术后患者阴道流血量(32.0±10.5)mL;平均住院时间(3.4±0.5)d;术后1例患者出现轻度皮下气肿,4例患者出现切口渗血,4例患者出现切口周围皮下出血,13例患者出现伤口疼痛,41例患者出现肩部或膈肌疼痛。结论腹腔镜子宫肌瘤剔除术安全有效,术后恢复快;术后做好患者病情观察及采取针对性的护理对患者的恢复具有重要意义。

Objective To observe the effect of laparoscopic myomectomy and summarize the nursing points. Method Seventy five patients with hysteromyoma were treated by laparoscopie myomeetomy and postoperative targeted nursing strategies were applied on them. Results Laparoseopic postoperative bleeding was （32.0 ± 10.5）mL and the length of hospitalization was （3.4 ± 0.5 ）d. Postopeartiove eompplieations were as follows： mild subcutaneous emphysema in 1 case , puncture bleeding in 4 cases, subcutaneous bleeding around the puncture in 4 cases, wound pain in 13 cases, and pain in the shoulder or the diaphragm in 41 cases. Conclusions Laparoscope is a safe and effective treatment method for patients with hysteromyoma. To observe the patients＇ postoperative conditions and give them targeted nursing strategies are important for patients recovery.