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目的探讨内镜切除胃黏膜下肿瘤的手术配合及护理。方法对62例胃黏膜下肿瘤患者行内镜切除治疗的手术配合及护理方法并进行总结分析。结果 62例患者中2例中转外科腹腔镜完成,其余均一次性完整切除病变,其中内镜黏膜下剥离术(ESD)31例,内镜黏膜下挖除术(ESE)26例,内镜下全层切除术(EFR)3例,术中出血量少,3例“人工”穿孔缝合满意。瘤体长径6~40 mm,均回收送病理。术后无出血及穿孔。随访胃镜和超声内镜1~12月未发现肿瘤残留及复发。结论胃黏膜下肿瘤内镜切除安全有效,充分的术前准备,密切的术中配合及完善的术后护理对手术成功及减少术中术后并发症起着至关重要的作用。
Objective To investigate the surgical cooperation and nursing of endoscopic resection of gastric submucosal tumor. Methods Sixty-two patients with gastric submucosal tumor were treated with endoscopic resection combined with surgical care and nursing methods and analyzed. Results Of the 62 cases, 2 cases were completed laparoscopic surgery, and the others were completely excised one time. Among them, 31 cases were endoscopic submucosal dissection (ESD), 26 cases were endoscopic submucosal excavation (ESE) Three cases of full-thickness resection (EFR), less blood loss, 3 cases of “artificial” perforation suture satisfaction. Tumor length 6 ~ 40 mm, were sent to send pathology. No postoperative bleeding and perforation. Follow-up endoscopy and endoscopic ultrasound did not find the tumor residue and recurrence from January to December. Conclusions Endoscopic resection of gastric mucosa is safe and effective. Adequate preoperative preparation, close intraoperative cooperation and perfect postoperative nursing play an important role in the success of operation and reducing postoperative complications.