乳腺癌改良根治术同步背阔肌肌皮瓣乳房再造的护理配合  

Nursing cooperation of immediate breast reconstruction with the latissimus dorsi myocutaneous flap

作　　者：蹇琳[1] 吴荷玉[1] 刘晓[1] 刘红[1] 

机构地区：[1]华中科技大学同济医学院附属协和医院手术室,湖北武汉430022

出　　处：《现代临床护理》2016年第4期12-15,共4页Modern Clinical Nursing

基　　金：湖北省自然科学基金面上项目;项目编号为2014CFB488

摘　　要：目的总结乳腺癌改良根治术同步背阔肌肌皮瓣乳房再造的护理配合要点。方法对20例乳腺癌患者行乳腺癌改良根治术中背阔肌肌皮瓣即刻乳房再造,做好术前准备,术中配合,注意患者体位,维持患者体温,严格执行无菌、无瘤技术操作等。结果 20例患者行乳腺癌改良根治术中背阔肌肌皮瓣即刻乳房再造,术后患者均无皮瓣坏死,未发生明显并发症,手术效果满意。结论手术室护士重视术前心理护理,术中严格执行无菌和无瘤技术,安全摆放及变换手术体位以及正确使用各种仪器设备是保证手术顺利进行的关键。Objective To summarize the experience of nursing cooperation for immediate breast reconstruction with the latissimus dorsi myocutaneous flap. Methods Twenty breast cancer patients underwent modified radical surgery with intraoperative immediate application of the latissimus dorsi myocutaneous flap in combination with the same period breast prosthesis for breast reconstruction. The nursing measures included preoperative preparation and mental support, intraoperative active cooperation, position care, sustaining of body temperature and strict aseptic and disease-free technology. Results All the breast cancer patients lived through breast cancer modified radical immediate breast reconstruction. No flap necrosis occurred, neither did obvious complications. The operations were satisfactory. Conclusion The key to the breast reconstruction for the breast cancer patients exists in preoperative psychological nursing,intraoperative strict aseptic and disease-free technology, the proper operation position and the correct use of instruments and equipment.

关 键 词：乳腺癌改良根治术 乳房再造 背阔肌肌皮瓣 护理配合 

分 类 号：R473.73[医药卫生—护理学]