CT介入射频消融治疗肺癌的护理

Nursing of radio frequency ablation of lung tumors under CT guidance

目的探讨CT定位引导下射频消融治疗肺癌的护理。方法 46例肺癌患者在CT定位引导下,采用经皮穿刺方法将电极针刺入肺内肿瘤。连接射频治疗仪,采用标准程序进行消融,治疗靶温度为90℃。术前、术中认真做好心理护理和健康教育,进行各项功能监测及化验检查,密切观察生命体征,配合术者定位、穿刺及其他各项事宜。术后认真观察病情,处理好并发症。结果 46例患者均顺利完成治疗操作,术中无气胸、胸膜反应等并发症。术后出现7例体温异常,胸部及治疗部位疼痛4例,给予对症治疗及加强护理后症状均明显好转。结论 CT介入射频消融治疗肺癌具有较好的近期效果,同时,加强对患者临床症状的观察与护理,做好射频消融术术前、术中及术后的护理,对促进患者的治疗效果和提升患者的生存质量是非常重要的。

Objective To explore the nursing methods of radio - frequency ablation （RFA） of lung tumors under CT - guidance. Methods Forty - six cases of lung cancer patients were treated with CT - guided percutaneous RFA. The needle electrode was inserted by physician through the skin and advanced to the site of the tumor. RFA instrument was connected, using standard procedures for ablation, and the therapeutic target temperature was 90 ~C. All patients received health education, psychological nursing, various function monitoring and laboratory examinations before operation and during operation. Meanwhile, vital signs change, positioning, puncture and other various mat- ters were observed. After surgery, the state of illness was observed closely, and doctors patiently explained to the patients and dealt with dis- ease complications. Results All patients successfully completed treatment operations and no pneumothorax, pleural reaction and other com- plications occurred. There were 7 cases of abnormal body temperature, 4 cases of chest and the treatment site pain after operation. Patients were significantly improved after being given symptomatic treatment and intensive care. Conclusion CT interventional radiofrequency abla- tion of lung cancer shows good short - term results. In addition, it is very important to strengthen the observation and care of the clinical symptoms of patients. Furthermore, perioperative intensive nursing period of RFA contributes to the promotion of therapeutic effect and quality of life for patients.