本文關(guān)鍵詞：經(jīng)皮肝穿刺氬氦刀冷凍消融治療巨塊型肝癌患者的圍手術(shù)期護(hù)理　出處：《護(hù)理實(shí)踐與研究》2017年01期 　論文類型：期刊論文

  更多相關(guān)文章： 經(jīng)皮肝穿刺 氬氦刀冷凍消融 巨塊型肝腫瘤 圍手術(shù)期

【摘要】：目的:探討經(jīng)皮肝穿刺氬氦刀冷凍消融治療巨塊型肝癌的療效,總結(jié)圍手術(shù)期護(hù)理經(jīng)驗(yàn)。方法:回顧性分析本醫(yī)院2014年8月~2016年7月介入治療科收治的經(jīng)皮肝穿刺氬氦刀冷凍消融治療巨塊型肝癌36例患者的臨床資料,總結(jié)術(shù)前、術(shù)中及術(shù)后護(hù)理經(jīng)驗(yàn)。結(jié)果:36例患者均順利完成經(jīng)皮肝穿刺氬氦刀冷凍治療,術(shù)后住院時(shí)間為4~18 d,平均(12.6±3.9)d,術(shù)中未出現(xiàn)肝破裂、出血、膽漏、皮膚凍傷或穿刺部位感染癥狀。術(shù)后1例患者出現(xiàn)氣胸,36例患者均伴有不同程度發(fā)熱,21例患者伴有上腹部疼痛,其中6例患者疼痛劇烈,惡性嘔吐13例,寒戰(zhàn)8例,均經(jīng)對(duì)癥支持治療后癥狀消失,恢復(fù)正常。術(shù)后1個(gè)月隨訪,CT檢查腫瘤出現(xiàn)壞死,腫瘤病灶邊緣范圍縮小。術(shù)后3個(gè)月CT復(fù)查腫瘤明顯縮小。結(jié)論:經(jīng)皮肝穿刺氬氦刀冷凍消融治療巨塊型肝癌療效確切、術(shù)后恢復(fù)快,可有效控制病灶范圍,圍手術(shù)期的精心護(hù)理是手術(shù)順利實(shí)施及療效的保障。
[Abstract]:Objective: to evaluate the efficacy of cryoablation with argon and helium in the treatment of massive hepatocellular carcinoma (HCC). Summary of perioperative nursing experience. Methods:. The clinical data of 36 patients with giant hepatocellular carcinoma treated by percutaneous argon-helium ablation from August 2014 to July 2016 in our hospital were retrospectively analyzed. Results 36 patients were successfully treated with cryotherapy with argon and helium percutaneous transhepatic puncture. The postoperative hospitalization time was 4 ~ 18 days, with an average of 12.6 鹵3.9 days. There were no symptoms of liver rupture, bleeding, bile leakage, skin frostbite or puncture site infection during the operation. Among them, 6 cases had severe pain, 13 cases had malignant vomiting, and 8 cases had shivering. The symptoms disappeared and returned to normal after symptomatic support treatment. The margin of tumor focus was reduced and CT reexamination 3 months after operation. Conclusion: percutaneous liver ablation with argon-helium knife is effective in the treatment of giant hepatocellular carcinoma, and can effectively control the focus area. The careful nursing during the perioperative period is the guarantee of the successful implementation and curative effect of the operation.
【作者單位】： 南方醫(yī)科大學(xué)附屬新會(huì)醫(yī)院;
【基金】：2016年度江門市衛(wèi)生計(jì)生局科研立項(xiàng)(16A046)
【分類號(hào)】：R473.73
【正文快照】： 肝細(xì)胞癌是我國(guó)一種常見(jiàn)的消化道惡性腫瘤,其特點(diǎn)是病程短,80%以上的患者出現(xiàn)癥狀時(shí)已經(jīng)是中晚期,同時(shí)合并肝硬化[1],多數(shù)已無(wú)法用手術(shù)的方法根治,且放、化療對(duì)肝癌不敏感[2]。巨塊型肝癌是原發(fā)性肝癌的常見(jiàn)類型,腫瘤直徑多≥5 cm,形狀呈現(xiàn)單塊、融合快及多塊狀,明確診斷后常

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