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目的探讨子宫肌瘤动脉栓塞治疗子宫肌瘤术后并发症的原因及护理措施。方法回顾分析我科2008年1月-2010年2月住院收治的子宫肌瘤患者35例采用子宫肌瘤动脉栓塞治疗的临床资料,对其并发症的发生原因以及处理措施进行讨论。结果 35例患者均行子宫肌瘤动脉栓塞成功,3~5 d出院。随访6~12个月,症状均有不同程度的改善。6个月复查子宫肌瘤平均缩小31.09%,子宫体积缩小平均38.4%。1年子宫肌瘤缩小达35.66%,子宫体积缩小50.29%。本组出现疼痛31例(88.57%),便秘26例(74.29%),恶心、呕吐25例(71.43%),发热10例(28.57%),子宫动脉痉挛1例(2.86%),术后停经1例(2.86%),经对症处理后均好转,护理效果良好。结论细心观察患者术后的临床症状,正确处理术后并发症,有利于提高疗效。
Objective To investigate the causes and nursing measures of postoperative complications of uterine myoma treated by arterial embolization. Methods The clinical data of 35 patients with uterine fibroids treated in our hospital from January 2008 to February 2010 in our hospital were retrospectively analyzed. The causes of the complication and the treatment measures were discussed. Results All the 35 patients underwent successful arterial embolization of uterine fibroids and were discharged at 3 to 5 days. Follow-up 6 to 12 months, the symptoms have varying degrees of improvement. 6 months review of uterine fibroids average reduction of 31.09%, uterine volume reduction average 38.4%. 1 year uterine fibroids shrink up to 35.66%, 50.29% reduction in uterine volume. There were 31 cases (88.57%) of pain, 26 cases of constipation (74.29%), 25 cases of nausea and vomiting (71.43%), 10 cases of fever (28.57%) and 1 case of uterine arterial spasm (2.86% One case (2.86%), after symptomatic treatment were improved, the nursing effect is good. Conclusions Careful observation of the clinical symptoms of patients, the correct treatment of postoperative complications, is conducive to improving the efficacy.