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目的探究3 D腹腔镜下广泛子宫和盆腔淋巴结切除术中护理的配合要点和护理体会。方法对天津市中心妇产科医院手术室2 0 1 5年1-8月的3 0例宫颈癌患者在3 D腹腔镜下广泛子宫和盆腔淋巴结切除手术的手术护理,包括术前充分的准备,术中与术者的密切护理配合,以及术后护理,进行研究和分析。结果本组3 0例患者均手术成功安返病房,手术时间2~4 h,术中出血4 0~1 0 0 m l,术后1 0~1 5 d出院,患者病情得到有效的控制,术后痛苦少,无严重并发症。结论针对3 D腹腔镜下广泛子宫和盆腔淋巴结切除这个新技术,护士要在术前做好充分的物品准备,做好术前访视,与患者进行良好的沟通,术中默契配合,以及注重对贵重仪器的维护,密切观察患者病情变化,坚持术后随访患者。
Objective To explore the 3D laparoscopic extensive uterine and pelvic lymphadenectomy in the nursing with the main points and nursing experience. Methods Surgical care of 30 patients with cervical cancer underwent 3-D laparoscopy for extensive uterine and pelvic lymphadenectomy in the operating room of the Central Obstetrics and Gynecology Hospital of Tianjin from January to August in 2015, including adequate preoperative preparation , Intraoperative and operative close care and cooperation, and postoperative care, research and analysis. Results All the 30 patients were successfully surgically returned to the ward, the operation time was 2 to 4 hours, the intraoperative bleeding was 40 to 100 ml, and the patients were discharged from 10 to 15 days after operation. The patient’s condition was effectively controlled After less pain, no serious complications. Conclusion In view of the new 3-D laparoscopic wide uterine and pelvic lymphadenectomy technology, nurses should be fully prepared before surgery, good preoperative visit, good communication with patients, intraoperative tacit cooperation, and pay attention to Maintenance of valuable equipment, closely observe the patient’s condition changes, adhere to follow-up patients.