双侧子宫动脉栓塞术治疗切口妊娠的手术护理体会

保莲　宋其琴　周娜

【摘要】 目的：探讨应用双侧子宫动脉栓塞术治疗切口妊娠后的护理措施和效果。方法：选取本院2014年8月-2016年8月确诊收治的36例应用双侧子宫动脉栓塞术治疗切口妊娠的患者为研究对象，采用随机数字表法分为对照组和观察组，每组18例。对照组采取常规护理，观察组采取优质的综合护理，回顾性分析两组护理情况和结果。结果：两组患者手术都取得了成功，经治疗护理后痊愈出院。观察组的住院时间、伤口恢复时间均短于对照组，感染发生率及并发症发生率均低于对照组，差异均有统计学意义（P<0.05）。结论：应用双侧子宫动脉栓塞术治疗切口妊娠时加以优质的综合护理，有助于降低介入手术的风险，同时能避免术后并发症的发生，对患者早日康复具有重要的意义。

【关键词】 切口妊娠； 子宫动脉； 栓塞； 护理

Nursing Experience of Bilateral Uterine Artery Embolization Surgical for Incision Pregnancy/BAO Lian，SONG Qi-qin，ZHOU Na.//Medical Innovation of China，2017，14（19）：091-093

【Abstract】 Objective：To study the nursing measures and effects of bilateral uterine artery embolization surgical for incision pregnancy.Method：From August 2014 to August 2016，36 patients who received bilateral uterine artery embolization surgical treated incision pregnancy in our hospital were selected，and divided into control group and observation group，18 cases in each group，the control group adopted routine nursing care，the observation group adopted quality comprehensive nursing. The nursing situation and the results of two groups were analyzed.Result：Both of two groups surgery were successful，recovered after the treatment.The length of hospital stay and wound healing time of observation group were shorter than those of control group， the incidence of infection and complication rates of observation group were lower than those of control group，the differences were statistically significant（P<0.05）.Conclusion：Bilateral uterine artery embolization combined quality comprehensive care to treat incision pregnancy，can reduce the risk of intervention operation，avoid the occurrence of postoperative complications，it has important value to patients recover soon.

【Key words】 Incision pregnancy； Uterine artery； Embolism； Nursing

First-authors address：The Peoples Hospital of Nanshan District in Shenzhen City，Shenzhen 518062，China

doi：10.3969/j.issn.1674-4985.2017.19.026

近年來随着剖宫产率的提高，子宫切口妊娠病例的出现频率也在逐年升高[1]。子宫切口妊娠（CSP）是受精卵或胚胎着床于前次剖宫产切口瘢痕处而造成的一种异位妊娠类型[2]，同时也是剖宫产的远期并发症之一。子宫切口妊娠的发生在临床中是比较罕见和凶险的[3]，如若处理不当或不够及时，可能会导致难以控制的大出血及子宫穿孔等并发症，严重危害患者的身体健康，甚至可能威胁到患者的生命安全[4]。与传统常用的治疗方式相比，应用子宫动脉栓塞术治疗子宫切口妊娠具有止血迅速、微创安全性高、并发症少、恢复快等优点[5]。子宫动脉栓塞术目前已经成为了临床治疗子宫瘢痕妊娠的重要方法[6]，因为它在保留子宫完整性的同时还保留了子宫的生育功能[7]，深受患者青睐。但行子宫动脉栓塞术后还是会出现一些并发症，因此要加强护理服务的品质，通过重视心理护理、术后严密的病情观察、饮食指导等措施减少并发症的发生[8]，以达到更好的疗效，让患者满意。……