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中华胃肠内镜电子杂志 ›› 2024, Vol. 11 ›› Issue (01) : 59 -61. doi: 10.3877/cma.j.issn.2095-7157.2024.01.014

护理园地

食管大面积病变内镜黏膜下隧道剥离术后使用体外自助式扩张球囊预防食管狭窄的围手术期护理1例并文献复习
杜健1, 王盈盈1, 刘晓冰1, 吴慧银1, 王俊雅1, 邱晓珏1,()   
  1. 1. 100853 北京,解放军总医院第一医学中心消化内科医学部
  • 收稿日期:2023-06-08 出版日期:2024-02-15
  • 通信作者: 邱晓珏

Perioperative nursing for prevention of esophageal stenosis with external self-dilating balloon after endoscopic submucosal tunnel dissection for large esophageal lesions: a case report and literature review

Jian Du1, Yingying Wang1, Xiaobing Liu1, Huiyin Wu1, Junya Wang1, Xiaojue Qiu1,()   

  1. 1. Department of Gastroenterology, The First Medical Centre of Chinese PLA General Hospital, Beijing 100853, China
  • Received:2023-06-08 Published:2024-02-15
  • Corresponding author: Xiaojue Qiu
引用本文:

杜健, 王盈盈, 刘晓冰, 吴慧银, 王俊雅, 邱晓珏. 食管大面积病变内镜黏膜下隧道剥离术后使用体外自助式扩张球囊预防食管狭窄的围手术期护理1例并文献复习[J]. 中华胃肠内镜电子杂志, 2024, 11(01): 59-61.

Jian Du, Yingying Wang, Xiaobing Liu, Huiyin Wu, Junya Wang, Xiaojue Qiu. Perioperative nursing for prevention of esophageal stenosis with external self-dilating balloon after endoscopic submucosal tunnel dissection for large esophageal lesions: a case report and literature review[J]. Chinese Journal of Gastrointestinal Endoscopy(Electronic Edition), 2024, 11(01): 59-61.

目的

总结食管大面积病变内镜黏膜下隧道剥离术(ESTD)后使用体外自助式扩张球囊预防食管狭窄的护理经验。

方法

选取1例食管大面积病变ESTD术后使用体外自助式扩张球囊的患者,临床中做好有效地围手术期护理,总结护理措施。

结果

经过精心治疗与针对性护理,恢复效果良好,未发生食管狭窄。

结论

早期全面实施围手术期护理干预,可有效降低食管大面积病变患者术后食管狭窄发生率,提高护理质量,改善患者焦虑情绪。

Objective

To summarize the nursing experience of using external self-dilating balloon to prevent esophageal stenosis after endoscopic submucosal tunnel dissection (ESTD) for large esophageal lesions.

Methods

A patient with large-scale esophageal disease ESTD was selected and treated with self-dilated balloon in vitro.Effective perioperative nursing was carried out and nursing measures were summarized.

Results

After careful treatment and targeted nursing, the recovery effect was good, and esophageal stenosis did not occur.

Conclusion

Early comprehensive implementation of perioperative nursing intervention can effectively reduce the incidence of postoperative esophageal stenosis in patients with large esophageal lesions, improve the quality of nursing and improve the anxiety of patients.

图1 体外自助式扩张球囊示意图注:A:患者可自行操作球囊;B:球囊的相关参数
表1 预防食管大面积病变内镜黏膜下隧道剥离术后狭窄治疗方法代表文献
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