全耳廓再造术围手术期护理  

Perioperative nursing of full-ear recons truction

作　　者：李宁 朱捷 孙建华 张本寿 LI Ning;ZHU Jie;SUN Jian-hua;ZHANG Ben-shou(Department of Surgery,The 100th Hospital of PLA, Suzhou 215007,Jiangsu,China)

机构地区：[1]苏州解放军第100医院外科,江苏苏州215007

出　　处：《中国美容医学》2016年第12期103-105,共3页Chinese Journal of Aesthetic Medicine

摘　　要：目的:探讨先天性小耳畸形全耳廓再造术的围手术期护理方法。方法:30例先天性小耳畸形行全耳廓再造术,手术分两期,I期:设计颞顶筋膜瓣转移于残耳乳突区筋膜层下,与耳后筋膜皮瓣进行同期扩张;II期:将扩张耳后联合双层筋膜皮瓣转移包裹Medpor支架,行耳廓再造术。全程实施心理疏导,围手术期进行细致观察和护理。结果:本组再造全耳廓均I期愈合,无皮瓣坏死、感染等并发症发生。术后随访6个月至3年,再造耳廓形态良好,微细结构清晰,无一例支架外露。结论:扩张耳后双层筋膜皮瓣覆盖Medpor支架行全耳廓再造术,全程实施耐心细致的心理疏导,正确的围手术期护理是手术成功的关键。Objective To study the methods and perioperative nursing efficacy of full-ear reconstruction on congenital micronadeformity. Methods 30 patients with congenital microtia detormity were selected. Surgery was divided into two phases.Phase. procedures included: temporal parietal branch was used for the vascular pedicle, and mastoid area behind the ear wasmoved and expanded for fascia flap. Phase. included: the joint expansion of double fascia flap wrapped Medpor to do full-earreconstruction. During the whole process of operation, careful nursing and psychological induction were given. Results Flapsall survived and no complications happened. The following 6 months to 3 years revisit observation: all reconstructed ears hadlifelike appearance and clear anatomical structures; none of the ears had exposed prosthesis and scar contraction. ConclusionsProper psychological induction and comprehensive perioperative nursing care are key points to full-ear reconstruction surgery.

关 键 词：小耳畸形 MEDPOR支架 筋膜皮瓣 耳廓再造 围术期护理 

分 类 号：R473.76[医药卫生—护理学]