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国际护理学研究

International Journal of Nursing Research

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International Journal of Nursing Research. 2022; 4: (3) ; 10.12208/j.ijnr.20220100 .

Nursing cooperation of 11 cases of NOSES Jinling operation
11例NOSES金陵术的手术护理配合

作者: 李伟花, 王冰, 倪丽, 杨诗颖, 龚荣花 *, 汤东

江苏省苏北人民医院 江苏扬州

*通讯作者: 龚荣花,单位:江苏省苏北人民医院 江苏扬州;

引用本文: 李伟花, 王冰, 倪丽, 杨诗颖, 龚荣花, 汤东 11例NOSES金陵术的手术护理配合[J]. 国际护理学研究, 2022; 4: (3) : 50-52.
Published: 2022/7/28 18:07:40

摘要

目的 探讨经人体自然腔道取标本的结肠次全切除联合改良术的手术配合。方法 回顾性分析我院胃肠外科于2017年6月至2020年10月开展的11例NOSES金陵术患者的临床资料。结果 11例患者平均手术时间(279 ± 99.7)min,平均术中出血(62.7 ± 47.7)ml,平均出院天数(19 ± 8.3)d,11例患者顺利手术,未发生术后并发症。结论 精心的术前准备和娴熟的术中配合是NOSES金陵术顺利进行的保证。

关键词: 金陵术;经人体自然腔道;顽固性便秘;手术配合

Abstract

Objective: To explore the operative cooperation of subtotal colon resection combined with modified colectomy for human natural cavity specimens.
Methods: The clinical data of 11 cases of Jinling Noses patients who were carried out in the Gastrointestinal Surgery Department of our hospital from June 2017 to October 2020 were retrospectively analyzed.
Results: Generalconditions: mean operative time (279 ± 99.7) min, intraoperativebleeding (62.7 ± 47.7)ml, mean days out of hospital (19 ± 8.3) d, 11 patients were successfully operated without postoperative bleeding, anastomotic fistula, intestinal adhesion and other complications. Conclution: Careful preoperative preparation and skillful coordination ensure the smooth operation of the Noses.

Key words: Jinling Surgery; NOSES; Intractable Constipation; Operationcooperation

参考文献 References

[1] Feng X, Su Y, Jiang J, et al. Changes in fecal and colonic mucosal microbiota of patients with refractory constipation after a subtotal colectomy [J]. Am Surg, 2015, 81(2): 196-204.

[2] Kuscher s, Kronberger I, Oberwalder M, et al. Rare morphological disorder in therapy refractory chronic constipation [J]. International Journal of Colorectal Disease, 2015, 30(4): 579-580.

[3] Jiang J, Chen Q, Feng X, et al. Therapeutic effect and long-termfollow-up of the Jinling procedure for refractory constipation: aseries of I 100 cases [J]. Chinese Journal of Surgery, 2016, 54(|):13-20.

[4] 汤东,蒋学通,高俊,等.腹腔镜金陵术对改善顽固性便秘患者焦虑抑郁状态疗效分析[J/CD].中华普外科手术学杂志(电子版),2016, 10(2): 116-119.

[5] 徐珍妮,叶雪威. 电子化监测与预防压力性损伤的研究进展[J]. 家庭科技,2020,08:14-18.

[6] 嵇武,姜军,朱维铭,冯啸波,李宁,黎介寿.腹腔镜辅助结肠次全切除在重度功能性便秘治疗中的应用[J].中国微创外科杂志,2009,03:273-276.

[7] 龚荣花,顾梅,尹恩静,蒋国庆,柏斗胜. 改良完全腹腔镜下巨脾切除加贲门周围血管离断术的手术配合[J]. 护理实践与研究,2016,07:72-73.