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目的总结腹腔镜广泛子宫切除联合盆腔淋巴结清扫术围手术期护理配合措施。方法回顾性分析53例行腹腔镜广泛子宫切除联合盆腔淋巴结清扫术患者的临床资料,总结围手术期相关护理配合措施。结果 53例患者手术均顺利完成,术后发生阴道残端伤口延长愈合1例、术后尿潴留2例、输尿管瘘1例,并发症发生率7.5%(4/53)。结论完善术前准备、术中熟练配合、术后严密监测和积极预防并发症是确保患者手术和术后康复效果的关键因素。
Objective To summarize the perioperative nursing coordination measures of laparoscopic radical hysterectomy combined with pelvic lymph node dissection. Methods The clinical data of 53 cases undergoing laparoscopic radical hysterectomy combined with pelvic lymphadenectomy were retrospectively analyzed. The relevant nursing measures were summarized during the perioperative period. Results All the 53 cases were successfully completed. Postoperative vaginal stump wound healing was prolonged in 1 case, postoperative urinary retention in 2 cases and ureterostomy in 1 case. The complication rate was 7.5% (4/53). Conclusion Perfecting the preoperative preparation, skilled cooperation in operation, close monitoring and active prevention of complications after surgery are the key factors to ensure the operation and postoperative rehabilitation.