胃间质瘤行超声检查及内镜黏膜下剥离术的护理体会.docVIP

精品论文 参考文献 胃间质瘤行超声检查及内镜黏膜下剥离术的护理体会 潘 君 谢桂琼 　　（德阳市人民医院 四川 德阳 618000） 　　【摘 要】目的：分析与总结超声检查及内镜黏膜下剥离术对胃间质瘤的治疗效果及护理价值。方法：选取2012年6月到2014年6月于我院接受超声内镜检查证实为胃间质瘤的50例患者作为研究对象，定位病变部位，实施内镜下粘膜剥离术治疗，并采取护理配合操作，评估治疗及护理结果。结果：接受治疗及护理后，所有患者生活质量评分（64.79分plusmn;2.87分 VS 42.41分plusmn;3.26分）与社会功能（73.94分plusmn;1.82分 VS 38.66分plusmn;2.97分）较治疗前均有明显提升，对比存在显著差异（P＜0.05）。结论：做好围手术期的护理配合，对提高临床治疗效果，改善胃间质瘤患者的生活质量有其积极的意义。 　　【关键词】消化道；胃间质瘤；超声；内镜粘膜下剥离术；护理 　　【中图分类号】R47 【文献标识码】B 【文章编号】1003-5028（2015）5-0126-01 　　Nursing Experience of Gastric Stromal Tumor Ultrasound Examination and Endoscopic Submucosal Dissection Surgery 　　【Abstract】objective: To analyze and summarize effect and nursing value of gastric stromal tumor ultrasound and endoscopic submucosal dissection. Method: selection 50 cases of gastric stromal tumor patients who confirmed receiving endoscopic ultrasonography from June 2012 to June 2014 in our hospital as research object, positioning the lesion site and imply endoscopic submucosal dissection surgery , and with the operation, evaluate the results of treatment and nursing. Results: After the treatment and nursing, all patients quality of life score (64.79 plusmn;2.87 vs. 42.41 plusmn; 3.26) and the social function (73.94 plusmn; 1.82 vs. 38.66 plusmn; 2.97) compared with before treatment were improved significantly, comparision existed significant differences (P lt; 0.05). Conclusion: Completes the perioperative nursing care has positive significance on improvement of the clinical curative effect and the quality of life of patients with gastric stromal tumor. 　　【Key words】The digestive tract; Gastric stromal tumors; Ultrasound; Endoscopic submucosal dissection technique; nursing 　　胃间质瘤（gastric stromal tumors,GSTs）是最常见的消化道??叶组织源性肿瘤，起源于胃壁黏膜肌层或固有肌层，是具有潜在恶性倾向的侵袭性肿瘤，约占胃肿瘤的2%[1]。据相关统计资料显示，全球范围内每年发病率约为1.5/10万[2]。胃间质瘤起病隐匿，早期无特异临床症状，术前确诊困难。超声内镜（endoscopic ultrasonography,EUS）检查在消化道粘膜下肿瘤的诊断和治疗中具有重要作用[3]。采用内镜黏膜下剥离术（endoscopic submucoal dissection,ESD）与传统外科手术及腹腔镜手术相比具有创伤小，术后痛苦少，恢复快的特点[4]。为探讨