扩张后胸三角皮瓣修复面颈部瘢痕的护理  

The nursing method of using deltopectoral flap to repair scar on face and neck after dilatation

作　　者：陈晓敏[1] 刘云景[1] 马显杰[1] 刁建升[1] 王春芳[1] 薛腊[1] 桂芫芫[1] 

机构地区：[1]第四军医大学西京医院全军整形外科研究所,陕西西安710032

出　　处：《中国美容医学》2010年第4期592-593,共2页Chinese Journal of Aesthetic Medicine

摘　　要：目的:探讨扩张后胸三角皮瓣修复面颈部瘢痕的护理要点。方法:回顾分析102例采用扩张后胸三角皮瓣修复烧烫伤后颈面部瘢痕的患者的护理过程。结果:102例中12例扩张器自切口处外露,但未影响手术效果。皮瓣转移后7例单侧尖端皮瓣血运障碍,自行愈合后色素减退;1例单侧转移,皮瓣坏死;其余效果良好。结论:术前进行心理护理至关重要;术后加强基础护理,积极预防并发症的发生,注意观察皮瓣血运是皮瓣转移成活的关键。Objective To study the nursing method of using deltopectoral fla to repair scar on face and neck after dilatation.Methods Retrospectively analyzed the nursing care of 102 patients who have accepted deltopectoral fla to repair scar on face and neck after dilatation.Results There were 12 cases of dilator revealing from incisal opening,which did not affect the result of operation,7 cases of having no good blood supply in peak flap and hypopigmentation after healing itself,1 case of flap necrosising.Others had good result.Conclusion Mental nursing is very important before operation.Enhancing basic nursing and preventing complication actively after operation.It is critical for skin flap transplantation to observe blood supply of flap.

关 键 词：皮瓣移植 瘢痕 护理 

分 类 号：R622[医药卫生—整形外科]