腹腔镜下射频消融治疗孤立肾肾细胞癌的护理

Nursing experience on laparoscopic radiofrequency ablation of solitary renal cell carcinoma

目的探讨后腹腔镜辅助下射频消融治疗孤立肾肾细胞癌围手术期的护理方法。方法回顾性分析在保定市第二医院住院治疗的22例肾癌病例,患者均为孤立肾肾细胞癌,其中孤立肾性肾癌3例;一侧肾癌已切除,对侧肾有癌转移或新发癌7例;功能性孤立肾癌12例。该22名患者均在腹腔镜辅助下行射频消融治疗。结果手术成功患者22例,继发术后出血1例,保守治疗失败,进行选择性肾动脉栓塞术;发生尿瘘2例,其中保守治疗4周后好转1例,行选择性肾动脉栓塞术l例;未发生肾衰竭及感染病例。结论对腹腔镜辅助下射频消融治疗孤立肾肾细胞癌患者给予耐心周到的个性化护理是手术成功的关键。

Objective To investigate perioperative nursing experience assisted laparoscopic radiofrequency ablation of solitary renal cell carcinoma. Methods A retrospective analysis of 22 cases of solitary renal cell carcinoma in the Second Hospital of Baoding, patients were all solitary renal cell carcinoma, including three cases of solitary kidney renal cell carcinoma, one case＇s kidney had been removed, seven cases with the contralateral kidney cancer metastasis or new cancer, 12 cases with functional isolated. The 22 patients were assisted laparoscopic radiofrequency ablation. Results 22 patients surgical were successed, 1 case experienced secondary to postoperative bleeding, showed failure of conservative treatment, and they were underwent selective renal artery embolization; fistula occurred in 2 cases, one case was improved after 4 weeks of treatment, 1 case was experienced selective renal artery embolization; renal failure and infection did not occur. Conclusion Thoughtful personalized care is the key measure to the patients with solitary renal cell carcinoma assisted laparoscopic radiofrequency ablation.