Complications and nursing countermeasures of percutaneous microwave ablation in the treatment of liver cancer
经皮肝穿刺微波消融术治疗肝癌的并发症及护理对策

摘要

目的 探析经皮肝穿刺微波消融术（PMCT）治疗肝癌的并发症及护理对策。方法 本次研究的开展时间在2020年12月-2021年12月，研究对象为此时间段内在我院接受PMCT治疗的肝癌患者，共纳入研究的样本量为80例，对参与研究患者的手术相关并发症发生情况展开分析，并采取对应的护理措施。结果 本次参与研究的患者，在临床治疗中均采取PMCT治疗，对其并发症发生情况展开分析，术后有患者出现并发症，发生率为5.00%（4/80），分别为胆道损伤、感染、心律失常、腹腔内出血各有1例。结论 在肝癌患者的临床治疗中，采取PMCT治疗具有良好的应用优势，其操作相对简便，能够在局部有着较高的热效率，使得病灶组织被灭火，在此过程中对病灶周围正常组织的损伤较小，术后并发症发生风险较低，能够作为肝癌的有效治疗途径，但是部分肝癌患者的病灶位置较为特殊，且对于存在着凝血障碍患者，采取该术式治疗其术后并发症发生概率将会显著提高。了解手术适应症，通过娴熟的操作技术，针对性的护理干预，能够有效控制和预防并发症，有利于患者的病情康复。

Abstract

Objective: To explore the complications and nursing countermeasures of percutaneous transhepatic microwave ablation (PMCT) in the treatment of liver cancer.
Methods: This study was carried out from December 2020 to December 2021. The subjects of this study were 80 patients with liver cancer who received PMCT treatment in our hospital during this time period. The incidence of surgery related complications of patients participating in the study was analyzed and corresponding nursing measures were taken.
Results: all the patients who participated in the study were treated with PMCT in clinical treatment, and the incidence of complications was analyzed. There were complications after operation, with an incidence of 5.00% (4 / 80), including bile duct injury, infection, arrhythmia and intraperitoneal hemorrhage.
Conclusion  : in the clinical treatment of patients with liver cancer, PMCT has good application advantages. Its operation is relatively simple, it can have high local thermal efficiency, so that the focus tissue can be extinguished. In this process, the damage to the normal tissue around the focus is small, and the risk of postoperative complications is low. It can be used as an effective treatment for liver cancer, but the focus location of some patients with liver cancer is relatively special, And for patients with coagulation disorders, the probability of postoperative complications will be significantly improved. Understanding the surgical indications, skilled operation technology and targeted nursing intervention can effectively control and prevent complications, which is conducive to the rehabilitation of patients.