经内镜逆行胰胆管造影取石术的护理配合

Nursing cooperation of endoscopic retrograde cholangiopancreatography for stone removal

目的探讨经内镜逆行胰胆管造影(ERCP)取石术的护理配合及效果。方法回顾性分析本科室收治的450例采用ERCP取石治疗患者的临床资料,总结患者ERCP术中的护理配合技巧及护理经验。结果 450例患者中,422例一次取石成功,14例二次取石成功,4例转外科手术治疗,一次手术成功率为96. 67%。该组患者术中、术后均无出血、穿孔发生。但术后有26例患者出现并发症,发生率为5. 78%。结论 ERCP取石术创伤性较小、效果满意,但存在一定的风险,良好的护理配合对于确保手术成功具有重要意义。

Objective To explore the nursing cooperation of endoscopic retrograde cholangiopancreatography (ERCP) for stone removal and its efficacy. Methods The clinical data of 450 patients treated with ERCP lithotripsy in our department were retrospectively analyzed, and the nursing cooperation skills and experience were summarized. Results Out of 450 patients, there were 422 with one-time success for stone removal, and 14 with two-time stone removal, and 4 were transferred to surgery, with the one-time success rate of 96.67%. No bleeding or perforation occurred during or after operation in this group. But twenty-six patients had complications after operation, with the incidence of 5.78%. Conclusion Although ERCP has certain risks for stone removal, it has less trauma and satisfactory results. Good nursing cooperation is of great significance to ensure the success of the operation.