可调控眉毛密度的眉再造术同期治疗瘢痕性秃发的临床护理

目的:探索专项护理在眉再造同期治疗瘢痕性秃发术中的应用效果。方法:根据手术过程分两期进行专项临床护理。扩张器一期置入术后进行扩张器相关专项护理,严密监测扩张注水情况,密切观察扩张部位,防止扩张皮瓣坏死或感染;眉再造和瘢痕性秃发修复二期术后密切观察再造眉毛头皮条的颜色,避免静脉回流不畅发生。结果:本组12例患者进行了眉再造的全方位密切护理,岛状头皮瓣全部存活,头皮瘢痕全部修复,无一例皮瓣坏死。随访6~24个月,再造眉毛毛发密度与健侧非常接近,眉形自然逼真,手术效果满意。结论:在可调控眉毛密度的眉再造同期治疗瘢痕性秃发术中进行全方位护理是手术成功的重要保障。

Clinical Nursing of Eyebrow Reconstruction with Adjustable Eyebrow Concentration in the Treatment of Cicatricial Alopecia at the Same Time

Objective To explore the effect of special nursing in the operation of eyebrow reconstruction and the treatment of cicatricial alopecia at the same time.Methods According to the operation process,special nursing was carried out in two phases.After the first stage placement of expander,special nursing should be carried out for the expander,the water injection of expander should be monitored closely,and the expansion site should be observed closely to prevent the expansion flap from necrosis or infection.After two stages of eyebrow reconstruction and cicatricial alopecia repair,the color of scalp strip of reconstructed eyebrow should be closely observed to avoid the occurrence of poor venous return.Results Twelve patients underwent this method to reconstruct the eyebrows.All the island scalp flaps survived and no flap necrosis occurred.After 6-24 months of follow-up,the hair density of the reconstructed eyebrows was very close to the healthy side,without excessive thickening and excessive sparseness.The bald hair was completely repaired,and the sutures are small and the hair can be covered.The patients were all satisfied with the surgical results.Conclusion It is an important guarantee for the success of the operation to carry out all-round nursing during the operation of eyebrow reconstruction with adjustable eyebrow concentration and the treatment of cicatricial alopecia at the same time.