34例腹腔镜下肾癌冷冻消融术患者围手术期护理

Perioperative nursing of 34 patients with renal cell carcinoma treated by cryoablation

目的探讨腹腔镜下肾癌冷冻消融术患者的围手术期护理方法。方法回顾性分析34例行腹腔镜下肾癌冷冻消融术患者的围手术期护理要点。结果 34例患者手术过程顺利。术后发生出血4例,尿瘘1例,伤口感染2例,经积极处理均治愈,术后随访6月,肿瘤均液化坏死,无肿瘤复发。结论全面而专业的围手术期护理对提高腹腔镜下肾癌冷冻消融术成功率具有重要意义。

Objective To investigate the perioperative nursing experience in patients with renal cell carcinoma treated by cryoablation.Method The clinical data of 34 patients with renal cell carcinoma treated by cryoablation were retrospectively analyzed to summarize the perioperative nursing strategies.Results All the patients lived through the operations.The complications after the surgery occurred in 7 cases,with bleeding in 4 cases,urinary fistula in 1 case and wound infections in 2 cases.All the complications were cured by active treatment.After following up for 6 months,all the tumors showed liquefaction and necrosis and no one relapse.Conclusion Active and effective nursing intervention is the key point for the success of cryoablation.