The treatment and nursing of diffuse uterine leiomyomatosis

Abstract

Objective To summarize and analyze the treatment and nursing of diffuse uterine leiomyomatosis. Methods The clinical data of 16 patients with diffuse uterine leiomyomatosis admitted to Department of Obstetrics and Gynecology in Shengjing Hospital Affiliated to China Medical University from January 2009 to December 2016 were retrospectively analyzed, aiming at analyzing their treatment methods, perioperative indicators, nursing measures, etc., and analyzing the importance of nursing methods. Results Sixteen patients were treated with gonadotropin-releasing hormone agonist (GnRH-a) after abdominal myomectomy. The surgical procedures of 16 patients were smooth. The average operative time was 123.56 (45-190) min, the average intraoperative blood loss was 225.00(100-600) ml, the average number of fibroids resected during the operation was 61.63(16-135), the average extraction time was 4.06(3-6)days, the average postoperative time of indwelling catheter was 1.94(1-4)days, the average postoperative time of leaving the bed was 1.94(1-4) days, the average postoperative exhaust time was 1.81(1-3) days, and the average postoperative hospital stay was 5.25(4-7) days. Among them, 1 patient had postoperative intestinal fistula, which was cured after conservative treatment. Blood transfusion was performed for 8 patients with hemoglobin lower than 70 g/L. All patients received preoperative psychological nursing and postoperative comprehensive nursing, and were discharged successfully. Conclusions Transabdominal myomectomy plus GnRH-a treatment is an option for patients with diffuse uterine leiomyomatosis who want to preserve fertility. Do perioperative nursing seriously, can shorten the length of hospital stay, improve the cure rate. Key words: Diffuse uterine leiomyomatosis; Myomectomy; Perioperative nursing