剖宫产瘢痕妊娠出血病人子宫动脉化疗栓塞治疗的观察及护理

Observation and nursing care of uterine artery chemoembolization for uterine scar pregnancy bleeding patients

[目的]探讨子宫动脉栓塞联合甲氨蝶呤治疗剖宫产瘢痕妊娠出血病人的病情观察及护理,提高临床的治疗效果,预防并发症。[方法]根据子宫瘢痕妊娠出血病人生理及心理特点,加强心理护理,协助医生行子宫动脉栓塞联合灌注甲氨蝶呤,24h～48h后在B超指引下行清宫术;并做好术后观察及护理。[结果]16例病人均插管灌注及栓塞成功,16例术后24h～48h后均顺利清出妊娠组织,治疗及时,观察及护理得当,术后无严重并发症发生。[结论]子宫动脉灌注化疗、动脉栓塞联合清宫术治疗子宫瘢痕妊娠,是一种微创、安全、有效的治疗方法,既减少了出血量,又保留了子宫;做好护理人员对特殊部位妊娠的临床观察及护理提高临床治疗效果有重要意义。

Objective. To probe into patient＇s condition observation and nursing care of uterine artery embolization in combination with methotrexate for treatment of patients with uterine scar pregnancy bleeding, so as to improve clinical treatment effect and prevent complications. Methods. Based on the physiological and psychological characteristics of scar pregnancy bleeding patients, strengthen psychological care, and help doctors uterine artery embolization combined perfusion of methotrexate for 24 h to 48 h,then B- ultrasound guidelines curettage, and do good postoperative observation and care well. Results. The intubation perfusion and embolism was successful in 16 patients,and pregnancy tissue was cleared successfully after 24 h-48 h in 16 patients,the treatment was in time,observation and care was proper, no serious postoperative complications occurred. Conclusion. The uterine artery infusion chemotherapy, arterial embolization combined with curettage treatment for scar pregnancy,is a minimally invasive, safe and effective treatment, which reduced the amount of bleeding, but also retained the uterus; it has the important significance to do well clinical observation and care of the nursing staff to the special parts of pregnancy.