早期乳腺癌行前哨淋巴结活检加单纯乳房切除术的护理

Nursing of breast cancer patients with simple mastectomy and sentinel lymph node biopsy

目的探讨早期乳腺癌患者行前哨淋巴结活检加单纯乳房切除术的护理经验。方法对114例早期乳腺癌患者采用吲哚菁绿联合亚甲蓝用于前哨淋巴结活检术,对前哨淋巴结冰冻活检阴性的患者行单纯乳房切除术。术前实施心理护理和术前指导;术后做好疼痛及伤口护理。结果 114例患者手术时间1~2h;出血量50~100mL。术后有5例患者发生皮下积液,经治疗和护理,均治愈。结论行前哨淋巴结活检加单纯切除术,能够避免乳腺癌患者不必要的淋巴结清扫,减少对机体损伤。积极有效的护理措施与技术发挥双重作用,可保障手术达到预期效果。

Objective To explore the experience in nursing breast cancer patients with simple mastectomy and sentinel lymph node biopsy.Methods Indocyanine green combined with methylene blue was used for sentinel lymph node biopsy.114 breast cancer patients with negative frozen biopsy of sentinel lymph node were treated with mastectomy plus sentinel lymph node biopsy.Before the operation,psychological nursing and preoperative guidance were carried out,and after the operative,pain nursing and wound care were done.Results The operation time of 114 patients was 1~2h,and the amount of bleeding was 50~100mL.After the operation,subcutaneous effusion occurred in 5 patients.After the treatment and intensive care,all the patients were cured.Conclusions Simple mastectomy and sentinel lymph node biopsy can avoid unnecessary lymph node dissection and reduce the injury to the body.Active and effective nursing measures and techniques play a dual role,which can ensure the desired effect.