弥漫性子宫腺肌病病人PUSH 术的加速 康复外科路径构建

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Abstract Objective： To construct enhanced recovery after surgery（ERAS） pathway of fertility preservative surgery for diffuse uterine pathologies with protection of uterine structures for healing（PUSH） for patients with diffuse adenomyosis.Methods：The ERAS pathway of PUSH surgery for patients with diffuse adenomyosis was constructed through literature review and Delphi m ethod. Results： T he response rates for the 2 rounds of expert inquiry questionnaires were 100.00% and 95.65% ，respectively.The expert authority coefficients both were 0.88.The Kendall's W of the secondary indicators were 0.249 and 0.259，respectively.And the Kendall's W of the tertiary indicators were 0.209 and 0.241，respectively（all P<0.001 ）.The ERAS pathway of PUSH surgery for patients with diffuse adenomyosis ultimately formed.It included 7 first⁃level indicators and 44 second⁃level indicators and 76 three⁃level indicators.Conclusions：The ERAS pathway of PUSH surgery for patients with diffuse adenomyosis is scientific，reliable，and practical.

Keywords diffuse adenomyosis; uterine reconstruction; fertility preserving; enhanced recovery after surgery， ERAS; PUSH surgery; clinical pathway; Delphi method; nursing

摘要 目的：构建针对弥漫性子宫腺肌病病人的弥漫性子宫病变重建生育力手术（PUSH）的加速康复外科（ERAS）路径。（剩余8532字）