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封闭负压引流术治疗阴茎癌腹股沟淋巴结清扫术后伤口二期愈合患者的护理 被引量:4

Nursing of Penile Cancer Patients with Healing by Second Intention after Inguinal Lymph Node Dissection through Vacuum-assisted Sealing Drainage
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摘要 目的总结9例阴茎癌腹股沟淋巴结清扫术后伤口二期愈合患者的护理经验,为提高阴茎癌腹股沟淋巴结清扫术后伤口二期愈合的护理水平提供参考。方法给予保持有效的持续负压,做好创面的观察及护理,引流管的护理,并发症的预防等护理。结果 8例患者经封闭式负压引流治疗10~25 d(平均16 d)后顺利出院,创面愈合良好,未发生并发症,无需皮瓣转移或植皮等2次手术干预。1例患者出现淋巴漏予带管出院,电话随访出院后1周拔除引流管,无其他并发症出现。结论封闭负压引流术可促进阴茎癌腹股沟淋巴结清扫术后伤口愈合不良的二期愈合,并且经济有效、易于操作和护理。 Objective To summarize the nursing experience of 9 penile cancer patients with healing by second intention after inguinal lymph node dissection through vacuum-assisted sealing drainage and to provide reference for improving the nursing quality in clinical practice.Methods Continuous drainage tube with negative pressure,wound observation and nursing,observation of drainage tube and the prevention of complications were all conducive to the recovery of the patients.Results All the 8 patients discharged after the treatment with continuous drainage tube with negative pressure for 10 to 25 d(mean:16d)and wounds healed well and no complication was observed.No flap transfer or skin-grafting was needed.One patient discharged with tube due to endolymphatic leakage and the follow-up one week after discharge showed that no complication was found and the tube was removed.Conclusion Being efficient and practical,vacuum-assisted sealing drainage is beneficial to promoting wound healing for penile cancer patients with healing by second intention after inguinal lymph node dissection.
作者 郑霞 胡雅 周洁 尚攀婷 韩辉 卢惠明 ZHENG Xia;HU Ya;ZHOU Jie;SAHNG Pan-ting;HAN Hui;LU Hui-ming(Dept.of Urinary Surgery,Cancer Center Sun Yat-sen University,Guangzhou 510060,China)
出处 《护理学报》 北大核心 2021年第13期62-64,共3页 Journal of Nursing(China)
基金 国家自然科学基金面上项目(81772755)。
关键词 负压封闭引流装置 阴茎癌 腹股沟淋巴结清扫术 二期愈合 术后护理 vacuum-assisted sealing drainage penile cancer inguinal lymph node dissection healing by second intention postoperative nursing
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