无痛内镜黏膜下剥离术治疗食管黏膜下肿物的护理

摘要

目的：探讨食管黏膜下肿物（SMT）行无痛内镜黏膜下剥离术（ESD）的术前、术中及术后的护理干预效果。方法选择107例食管 SMT 患者，对其无痛 ESD 的术前、术中及术后进行护理干预，观察手术效果。结果经过术前、术中及术后护理，无痛 ESD 治疗食管 SMT 的完整切除率为97．20％（104／107），穿孔发生率为2．80％（3／107），3例穿孔均经保守治疗后痊愈。结论无痛 ESD 治疗食管 SMT 患者时实施术前、术中及术后护理配合，可达到微创、恢复快、病灶完整切除率高及并发症少的效果。%Objective To observe the effects of nursing intervention on preoperation,intraoperation and postoperation of esophageal submucosal tumor (SMT) by painless endoscopic submucosal dissection (ESD).Methods 107 cases with esophageal SMT were treated by painless ESD and the nursing interven-tion effects of the preoperation,intraoperation and postoperation were observed and evaluated.Results Through the pre-operative,intraoperative and post-operative nursing intervention in the treatment of SMT by painless endoscopic submucosal dissection,the complete resection rate was 97.20%(104/107)and the rate of perforation was 2.80%(3/107).3 cases of perforation were cured via conservative treatment.Con-clusion The effects of minimal invasion,rapid recovery,high complete resection rate and few complica-tions were observed in the treatment of esophageal submucosal tumor by ESD with proper pre-operative, intraoperative and post-operative nursing intervention.