文章摘要
李国芹,陈荣珠,张鹏鹏,李珊.超声引导下行解剖性肝切除的手术配合体会[J].中国临床保健杂志,2018,21(5):683-685.
超声引导下行解剖性肝切除的手术配合体会
Surgical cooperation experience of anatomical hepatectomy under ultrasound navigation
投稿时间:2018-05-11  
DOI:10.3969/J.issn.1672-6790.2018.05.030
中文关键词: 肝切除术  超声检查  围手术期护理
英文关键词: Hepatectomy  Ultrasonography  Perioperative nursing 〖FL
基金项目:
作者单位E-mail
李国芹 中国科学技术大学附属第一医院安徽省立医院手术室,合肥 230001 liguoqinah@126.com 
陈荣珠 中国科学技术大学附属第一医院安徽省立医院手术室,合肥 230001  
张鹏鹏 中国科学技术大学附属第一医院安徽省立医院手术室,合肥 230001  
李珊 中国科学技术大学附属第一医院安徽省立医院手术室,合肥 230001  
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中文摘要:
      目的 探讨超声引导下行解剖性肝切除手术配合。方法 分析30例实施超声引导下解剖性肝切除患者的手术护理配合资料。结果 30例患者术中没有发生大出血;术后发生并发症4例,其中胸腔积液2例,胸腔积液合并中等量以上腹水2例;术后无大出血、肝肾衰竭等发生,无围手术期死亡病例;术后1年复发率16.7%(5/30)。结论 器械护士、巡回护士掌握B超探头及其器械的使用,全面了解超声导航技术及手术步骤,熟练的手术配合及术中护理配合技巧是手术成功的关键因素之一。
英文摘要:
      Objective To investigate the cooperation of anatomical hepatectomy under ultrasound navigation. Methods The data of 30 cases of patients who underwent anatomical hepatectomy under ultrasound navigation were retrospectively analyzed and summarized. Results Among 30 cases,no patients had intraoperative bleeding;4 patients had postoperative complications,including 2 patients of pleural effusion and 2 patients of pleural effusion combined with moderate amount of ascites;no patients had major hemorrhage,liver and kidney failure occurred after operation and no patients died during perioperative period.The one-year postoperative recurrence rate of patients was 16.7%(5/30). Conclusion Instrument nurses,roving nurses mastered the use of B-ultrasound probes and their instruments,comprehensive understood the ultrasound navigation technology and surgical procedures and realized excellent surgical cooperation and intraoperative nursing skills are the keys to successful surgery.
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