内镜下全层切除术治疗胃底黏膜下肿瘤的护理

Nursing of Patients with Gastric Submucosal Tumors in the Fundus Undergoing Endoscopic Full-Thickness Resection

目的探讨内镜下全层切除术(endoscopic full-thickness resection,EFR)治疗胃底黏膜下肿瘤的护理。方法回顾性分析2015年11月至2017年5月在海军军医大学附属上海长海医院消化内科治疗的48例胃底黏膜下肿瘤患者的临床资料,所有患者均行EFR术,总结其护理要点。结果 48例患者均成功完成EFR手术,平均手术时间为(69.2±5.32)min。共3例患者出现并发症,其中1例患者发生术中出血、1例发生气腹、1例出现术后发热,总并发症发生率为6.25%。所有并发症均经内镜及内科治疗成功处理。经过术后精心护理,所有患者均顺利出院,平均住院日为(6.0±0.52)d。术后随访6~12个月,未见残留及复发。结论完善的术前准备、密切的术中配合和精心的术后护理是EFR手术成功的重要保证,可预防和减少并发症的发生,促进患者康复。

Objective To investigate the nursing care of patients with gastric submucosal tumor（SMT）in the fundus undergoing endoscopic full-thickness resection（EFR）.Methods The medical records of 48 patients with SMT in the fundus undergoing EFR were analyzed retrospectively.The main nursing points were concluded.Results All 48 patients completed EFR operation successfully,and the average procedure time was（69.2±5.32）min.Three patients suffered complications,including one with intraoperative hemorrhage,one with pneumoperitoneum and one with postoperative fever.The incidence rate of complications was 6.25%.All complications were managed under endoscopic or conservative treatments.Under carefully postoperative nursing,all patients were discharged.The average hospital stay was（6.0±0.52）days.No residual or tumor recurrence was observed during the follow-up period of 6 to 12 months.Conclusions Meticulous nursing care could ensure the success of EFR treatment,prevent or reduce the occurrence of complications and promote the recovery of the patients.