实用临床医药杂志2012,Vol.16Issue(18):54-55,58,3.
经口内镜下肌切开术治疗贲门失弛缓症的护理配合体会
Nursing experience of achalasia of cardia with peroral endoscopic myotomy
马志兰 1成宏伟 1周平红 2黄震 1唐娟1
作者信息
- 1. 江苏省泰兴市人民医院内镜中心,江苏泰兴,225400
- 2. 复旦大学附属中山医院内镜中心,上海,200032
- 折叠
摘要
Abstract
Objective To explore nursing matching skills and safety of peroral endoscopic myotomy (POEM) for achalasia of cardia(AC) . Methods The clinical data of 8 patients diagnosed with AC and treated with POEM from December 2011 to April 2012 were reviewed. The main procedures of POEM were as follows: assistant of esophageal submucosal injection,incision of esophageal mucosa layer,construction of submucosal tunnel by submucosa separation,endoscopic longitudinal incision of circular muscle,closure of mucosal entry with Titanium clip. Results All the 8 patients underwent POEM successfully,and no patient was found with severe complications of POEM due to nursing matching. Dysphagia was relieved significantly in all patients before their successful discharges. Conclusion POEM is very effective in treating AC in a short period. Fast,steady and accurate nursing matching can effectively reduce the incidence of surgery and improve safety of surgical treatment.关键词
贲门失弛缓症/内镜治疗/护理Key words
achalasia of cardia/endoscopic treatment/nursing分类
医药卫生引用本文复制引用
马志兰,成宏伟,周平红,黄震,唐娟..经口内镜下肌切开术治疗贲门失弛缓症的护理配合体会[J].实用临床医药杂志,2012,16(18):54-55,58,3.