高强度聚焦超声治疗子宫肌瘤的护理探讨

Nursing care of hysteromyoma patients with high-intensity focused ultrasound therapy

目的探讨高强度聚焦超声(HIFU)治疗子宫肌瘤的护理措施。方法回顾性分析98例行HIFU治疗的子宫肌瘤或子宫腺肌瘤患者的临床资料,记录手术方法、疾病转归,探讨护理措施。结果术后第3个月随访显示63例肌瘤体积减小程度>30%,临床症状明显改善或者消失;27例肌瘤体积减小程度<30%,但临床症状明显减轻;5例肌瘤体积无明显减小,临床症状无明显改善;3例出现肿瘤增大并及时予以2次手术治疗。结论 HIFU围手术期应用科学的护理措施,规范的术前准备和术中操作,注重患者心理干预和术后康复指导,对提高治疗疗效、减少疾病复发具有积极意义。

Objective To discuss the nursing measures for hysteromyoma patients with high- intensity focused ultrasound （HIFU） therapy. Methods Retrospectively analyzed the clinical data Of 98 hysteromyoma patients with high-intensity focused ultrasound therapy. Results After three months follow-up, there were 63 cases with more than 30% of fibroids size decreased, and their clinical symp- toms were markedly improved. There were 27 cases with less than 30% of fibroids size decreased, but still received relieved clinical symptoms. There were five cases with no obvious decrease in fibroids size and three cases with secondary operation as the increased fibroids size. Conclusion Scientific and effective nursing measures, such as standardized operation, strengthened mental health and reha- bilitation management, are improtant to improve the clinical effect and reduce the risk of recurrence.