血管化髂骨肌皮瓣移植修复下颌骨缺损的手术护理配合  

Nursing cooperation of the vascular ilium transplantation with mandibular defect repair after surgery

作　　者：曾英玉[1] 杨冬叶[2] 史力方[1] 徐桂银[1] 

机构地区：[1]中山大学附属第一医院手术室,广州510055 [2]中山大学光华口腔医学院·附属口腔医院,广东省口腔医学重点实验室

出　　处：《中华口腔医学研究杂志（电子版）》2013年第6期43-45,共3页Chinese Journal of Stomatological Research(Electronic Edition)

摘　　要：目的探讨髂骨肌皮瓣移植修复下颌骨缺损手术的护理配合技巧及要点。方法回顾性分析23例采用髂骨肌瓣移植修复下颌骨缺损患者的临床护理资料,总结手术操作的护理配合要点。结果经手术护士充分的术前准备和密切的术中配合,全部患者手术过程顺利。术中注重体温维持和无菌操作技术,23例患者均未出现血管挛缩现象,血管吻合顺利,术后无血管危象,植骨髂骨肌皮瓣全部成活。结论血管化髂骨肌皮瓣移植修复下颌骨缺损是复杂、精细的手术,充分的术前准备以及密切的手术配合是手术顺利进行的重要保障,术中维持恒定的体温对保证血管吻合质量至关重要。Objective To study the nursing skills in the treatment of patient after surgery of the vascular ilium transplantation of mandibular defect repair. Methods The clinical nursing data of 23 cases which all use belt rotary iliac deep arteriovenous ilium muscle flap transplantation mandibular defect repair after surgery were retrospective analysized, and the nursing points during the operation was summarized. Results Twenty three cases had successful operation through sufficient preparation before and after operation, Vascular contraction were not found, vascular anastomosis smoothly without vascular crisis after operation in 23 patients with attention to maintaining body temperature and aseptic technique after operation. Conclusions Vascular ilium transplantation with mandibular defect repair is sophisticated operation, sufficient preoperative preparation and post operation cooperation is an important guarantee for the smooth operation, maintain a constant body temperature to ensure the quality of vascular anastomosis operation.

关 键 词：下颌骨缺损 髂骨肌皮瓣移植 显微外科 护理配合 

分 类 号：R472.3[医药卫生—护理学]