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开腹剔除子宫肌瘤的患者指南-子宫肌瘤的原因_子宫肌瘤的治疗方法_子宫肌瘤的症状_超声消融_99子宫网
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开腹剔除子宫肌瘤的患者指南

作者:管理员        来源:99子宫网        发布日期:2010-11-10        访问量:6442

子宫肌瘤是最常见的妇科肿瘤,经腹行子宫肌瘤剔除术对要求留存生养能力的患者是既往常用的治疗方法。开腹子宫肌瘤剔除对人体的伤害大,需要在手术前后做好护理工作。

开腹子宫肌瘤剔除术前的7个流程:

(1)了解开腹手术过程及留意事项解除思维顾虑,避免精神紧张,积极配合医生。

(2)完善术前各项常规检查,如验血,验大小便,肝功能、B超、白带常规检查等,为手术做好预备。

(3)肠道预备:开腹子宫肌瘤剔除手术前日早上10时开始喝番泻叶或者手术前日下战书2点口服甘露醇导泻。手术前晚餐流质饮食,术前晚8点必要时肥皂水灌肠1次,达到清洁肠道作用。

(4)阴道预备:手术当天早晨用安尔碘行阴道冲刷同时用3%碘酊和70%洒精消毒宫颈。

(5)备皮:按常规剃去阴毛及腹部汗毛并清洗腹部。

(6)手术前日做好个人卫生(包括洗头、剪指趾甲洗澡、更换干净衣服)。

(7)手术前须禁食6—8小时,术前30分钟留置导尿管,肌注术前针鲁米那及阿托品。


开腹子宫肌瘤剔除后住院期间4个留意事项:


(1) 开腹子宫肌瘤剔除术后回病房平卧,术后6小时可半卧,促进盆腔引流,可以按时翻身及早期下床流动,促进肠蠕动;留意观察并记实自己第一次肛门排气的时间。

(2)砂袋压迫伤口6小时以便止血,减少死腔,同时观察伤口局部有无渗血渗液,如有反应请及时告诉医生。如伤口局部有红、肿痛等情况也需及时告诉医生,可给予局部照灯(热疗)及利凡诺溶液湿敷以促进伤口愈合。

(3)观察尿量及尿色,并做好记实。保持外阴清洁,逐日用安尔碘棉球抹洗外阴2次,直到拔除尿管。尿管一般于术后第2天拔除。

(4)饮食护理:术后禁食奶类、糖类饮食,术后第1天流质、第2天半流质,第3天起可过渡到正常饮食。


开腹子宫肌瘤剔除出院后4个留意事项:


(1)出院后一般2-5天拆线,详细需要根据伤口恢复情况;也有出院当天拆线。

(2)子宫肌瘤剔除术后应禁止性生活至少一个月,子宫次切术、子宫全切术分别待二个月、三个月,而且这也要根据患者自己的情况决定,一定要在病院复查后无异常情况后才可以有性生活。

(3)开腹子宫肌瘤剔除术后建议2年后怀孕,避免孕期子宫破裂风险。

(4)开腹子宫肌瘤剔除术后应多食平淡、易于消化的食品,多食生果、蔬菜、多喝水保持大便通畅,不要进食刺激性的食品,尤其是富含激素的食品和营养品,即使在康复以后也应该少食此类食品。

 

99子宫网小编推荐阅读:

子宫肌瘤切除仍有“后患”

子宫肌瘤切除治疗费用

 

 

 

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