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目的探讨经内镜黏膜下隧道肿瘤切除术(STER)治疗来源于固有肌层黏膜下肿瘤的护理研究。方法选择2013年5月至2015年3月第三军医大学第三附属医院内镜中心来源于固有肌层黏膜下肿瘤12例患者均行术前胃镜及超声内镜诊断。分析患者一般情况、术中操作情况及患者生命体征、术后并发症、饮食护理及出院指导。结果 12例患者食管7例、胃窦1例、胃贲门1例、胃底1例STER完整切除,切除率100%,另2例顺利完成STER、挖出术及探查术,未见瘤体。平均手术时间(136.5±20.5)min,平均住院天数(6.0±0.5)d。术后无皮下气肿、穿孔及出血。结论 STER治疗黏膜下肿瘤是一种安全有效的微创手术治疗方法,术前评估、准备及术中配合能保证手术安全顺利完成。
Objective To investigate the nursing of endometrial submucosal tumors treated by endoscopic submucosal tunnel tumor resection (STER). Methods From May 2013 to March 2015, 12 patients with endometriotic submucosal tumors from the Third Affiliated Hospital of the Third Military Medical University underwent endoscopy and endoscopic ultrasonography. Analysis of the general situation of patients, intraoperative operation and patient vital signs, postoperative complications, diet and discharge guidance. Results There were 7 cases of esophagus, 1 case of gastric antrum, 1 case of gastric cardia, 1 case of gastric cardia and 1 case of STER. The resection rate was 100%. The other 2 cases were successfully performed STER, excision and exploration, and no tumor was found. The average operation time was (136.5 ± 20.5) min and the average length of hospital stay was (6.0 ± 0.5) d. No postoperative subcutaneous emphysema, perforation and bleeding. Conclusion STER treatment of submucosal tumors is a safe and effective method of minimally invasive surgery. Preoperative evaluation, preparation and intraoperative cooperation can ensure the safe and successful operation.