实用临床医药杂志2012，Vol.16Issue(16)：74-76,3.
经口内镜下肌切开术治疗贲门失弛缓症的护理
Nursing of achalasia of cardia with peroral endoscopic myotomy
包正英 1韩树堂 1张其德 1肖君 1姜素峰 1杨帆1
作者信息
- 1. 江苏省中医院消化内镜中心,江苏南京,210029
- 折叠
摘要
Abstract
Objective To discuss the clinical methods and nursing of peroral endoscopic myotomy (POEM) in treating achalasia of cardia (AC). Methods The clinical data of 6 POEM patients diagnosed with AC were retrospectively reviewed. The main procedures of POEM were composed of esophageal mucosal incision,submucosal tunneling by endoscopic submucosal dissection (ESD),endoscopic myotomy of the circular muscle and closure of mucosal entry by hemostatic clips. The nursing cooperation and care were performed during the preoperative,intraoperative and postoperative periods. Results All the 6 patients underwent POEM successfully. The operation duration ranged from 60 to 128 mins with an average length of 76. 5 mins. The length of submucosal tunnel was 9 to 12cm with an average length of 10. 3 cm. The length of endoscopic myotomy of inner circular muscle was 7 to 10 cm with an average length of 8. 2 cm. One patient had pneumohy-poderma,and another patient had left pneumothorax. Patients were followed up for 1 to 10 months. Dysphagia was relieved significantly during the follow - up period in all six patients. Conclusion POEM is very effective to relieve dysphagia in a short term. However,further observation is needed to evaluate long - term efficacy and complications. The high - level endoscopy operation skills are expected from the doctor. The key to a successful surgery includes the close intraoperative cooperation among medical staff,careful clinical observation of the progression and dedicated care.关键词
贲门失弛缓症/肌切开术/内镜/护理Key words
achalasia of cardia/peroral endoscopic myotomy/endoscopy/nursing分类
医药卫生引用本文复制引用
包正英,韩树堂,张其德,肖君,姜素峰,杨帆..经口内镜下肌切开术治疗贲门失弛缓症的护理[J].实用临床医药杂志,2012,16(16):74-76,3.
