AbstractObjective To explore the nursing method for the prevention and treatment of vaginal adhesions in patients treated with full-dose radiotherapy for cervical cancer. Methods From 2015 to 2016, 80 cervical cancer patients who received radiotherapy were treated with domestic vaginal washing, vaginal local use of"Fufangbao", infection control, diet and sexual rehabilitation guidance, and so on, and the nursing outcome was evaluated. Results Of the 80 patients, 6 were lost during follow-up, resulting in a follow-up rate of 92.5%. Ten, five, and three patients were found to have grade 1, 2, and 3 vaginal toxicity, respectively. The patients with grade 1 vaginal toxicity were not treated with special treatment and were asked to do more vaginal washing. The patients with grade 2 and 3 vaginal toxicity were treated with daily vaginal washing and"Fufangbao" for repairing the vagina;vaginal adhesions disappeared or improved 3 months later. The patients with no vaginal adhesions had regular sexual intercourse and thus had improved quality of life. Conclusions Effective clinical nursing can reduce the incidence of vaginal adhesions and stenosis, improve patients’ quality of life, and promote the harmony of family.
Mai Miaoqing,Chen Peifang,Feng Guirong et al. Clinical nursing of vaginal adhesions in patients treated with radiotherapy for cervical cancer[J]. Chinese Journal of Radiation Oncology, 2017, 26(10): 1162-1164.
Mai Miaoqing,Chen Peifang,Feng Guirong et al. Clinical nursing of vaginal adhesions in patients treated with radiotherapy for cervical cancer[J]. Chinese Journal of Radiation Oncology, 2017, 26(10): 1162-1164.
[1] 蔡胜男.宫颈癌放疗并发症处理的研究进展[J].现代妇产科进展,2014,23(7):574-576.DOI:10.13283/j.cnki.xdfckjz.2014.07.018. Cai SY.Progress in treatment of complications of radiotherapy for cervical cancer[J].Prog Obst Gynecol,2014,23(7):574-576.DOI:10.13283/j.cnki.xdfckjz.2014.07.018. [2] 曾令瑜.阴道冲洗对宫颈癌患者治疗的近期及远期作用[J].实用医技杂志,2008,15(25):3475-3477.DOI:10.3969/j.issn.1671-5098.2008.25.075. Zeng LY.The short-term and long-term effects of vaginal irrigation on cervical cancer patients[J].J Pract Med Tech,2008,15(25):3475-3477.DOI:10.3969/j.issn.1671-5098.2008.25.075. [3] 贾西彪,王红静,杨凌云,等.宫颈癌根治术后放疗并发症和生活质量分析[J].广东医学,2011,32(14):1907-1909.DOI:10.3969/j.issn.1001-9448.2011.14.048. Jia XB,Wang HJ,Yang LY,et al. Analysis of complications and quality of life after radical radiotherapy for cervical cancer[J].Guangdong Med J,2011,32(14):1907-1909.DOI:10.3969/j.issn.1001-9448.2011.14.048. [4] Brand AH,Bull CA,Cakir B.Vaginal stenosis in patients treated with radiotherapy for carcinoma of the cervix[J].Int J Gynecol Cancer,2006,16(1):288-293.DOI:10.1111/ j.1525-1438.2006.00348.x. [5] 谢美荣,廖光晶.浅谈阴道冲洗在宫颈癌放疗中的应用[J].赣南医学院学报,2011,31(3):390-391.DOI:10.3969/ j.issn.1001-5779.2011.03.033. Xie MR,Liao GJ.Application of vaginal irrigation in radiotherapy of cervical cancer[J].J Gannan Med College,2011,31(3):390-391.DOI:10.3969/j.issn.1001-5779.2011.03.033. [6] 陈昆田,何智纯,曹新平.近距离放疗宫颈癌(Ⅱ、Ⅲ)期的远期疗效[J].中华放射肿瘤学杂志,1996,5(4):237-239. Chen KT,He ZC,Cao XP.Long-term results of cervix cancer (stageⅡ,Ⅲ) with afterloading radiotherapy (analysis on the ten year results of 235 cases[J].Chin J Radiat Oncol,1996,5(4):237-239. [7] Bruner DW,Lanciano R,Keegan M,et al. Vaginal stenosis and sexual function following intracavitary radiation for the treatment of cervical and endometrial carcinoma[J].Int J Radiat Oncol Biol Phys,1993,27(4):825-830.DOI:10.1016/ 0360-3016(93)90455-5.