文章摘要
椎管内肿瘤行半椎板入路显微手术的护理
Nursing of microsurgery through hemilaminectomy approach for intra-spinal canal tumors
投稿时间:2016-02-03  
DOI:10.3969/j.issn.1000-0399.2016.07.035
中文关键词: 椎管内肿瘤  半椎板入路  护理
英文关键词: Intra-spinal canal tumors  Hemilaminectomy approach  Nursing
基金项目:
作者单位
胡兵兵 230022 合肥 安徽医学大学第一附属医院神经外科 
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中文摘要:
      目的 探讨椎管内肿瘤行半椎板入路显微手术围手术期的护理要点。方法 回顾性分析2013~2016年安徽医科大学第一附属医院神经外科收治的34例椎管内肿瘤行半椎板入路显微手术切除的患者临床资料,对术前评估,针对性健康指导及心理护理措施,术后的病情观察、功能锻炼以及并发症的预防和护理进行总结分析。结果 本组34例患者中32例行肿瘤全部切除,2例大部切除。术后有3例患者肢体功能障碍较术前加重,经积极治疗并给予循序渐进的功能锻炼,症状得到了改善;2例患者出现切口脑脊液漏,经治疗护理后切口愈合良好,所有患者未出现护理并发症,全部康复出院,达到预期效果。结论 对于椎管内肿瘤行半椎板入路显微手术的患者,术前培养良好的心理状态,组织有效的功能训练是手术顺利进行的基础,术后认真的病情观察和悉心的护理,为预防并发症发生和促进患者康复提供了有力的保障。
英文摘要:
      Objective To access the main points of nursing care for the perioperative period of the microsurgery through hemilaminectomy approach for intra-spinal canal tumors.Methods The clinical data of 34 patients present in the Department of Neurosurgery in the hospital from 2013 to 2016 were reviewed and analysed,and all the patients experienced the microsurgical procedures through hemilaminectomy approach for intra-spinal canal tumors.The preoperative evaluations,the targeted health guidances,psychological nursing measures,the postoperative observations,the dirigations and the preventions and nursings for the complications were summarized and analysed.Results Among the 34 patients in this group,32 patients received total removals of intra-spinal tumors as well as two patients did subtotally.After the surgery,three patients experienced worse limb dysfunction compared with what before surgical procedures.The patients' conditions were improved under the active treatments and step-by-step dirigations.Two patients suffered from the incision cerebrospinal leakage and recovered after active treatments and nursings.All patients were discharged from the hospital upon good recoveries,none of whom had the nursing complications,and the desired fine effect was achieved instead.Conclusion For patients experiencing the hemilaminectomy approach surgical procedures for intra-spinal canal tumors,the basis for the operation management is to develop a good mental state before the surgery and conduct the effective dirigations.Serious postoperative observations and nursing cares can make strong guarantee for few postoperative complications and good recoveries of the patients.
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