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血管化腓骨瓣游离移植整复口腔下颌骨缺损7例围术期护理
引用本文:毛云峰.血管化腓骨瓣游离移植整复口腔下颌骨缺损7例围术期护理[J].齐鲁护理杂志,2010,16(4).
作者姓名:毛云峰
作者单位:云南省第一人民医院,云南,昆明650032
摘    要:目的:探讨血管化腓骨瓣游离移植整复下颌骨缺损患者围术期的护理方法.方法:对7例下颌骨大部缺损患者行血管化腓骨瓣游离移植整复,严格术前准备,术后密切观察皮瓣移植情况,早期发现血管危象,及时调整患者体位,并给予呼吸道、口腔及饮食护理.结果:7例患者血管吻合成功,伤口均一期愈合.随访半年,未见肿瘤复发及远处转移,5例获得满意的外观和功能;供区小腿均无功能障碍.结果:腓骨瓣是重建下颌骨缺损的理想组织瓣,对整复口腔下颌骨缺损患者采取有效的观察和护理,是保证手术成功和患者康复的重要措施之一.

关 键 词:血管化腓骨瓣  下颌骨缺损  整复  护理

Perioperative nursing care in the reconstruction of 7 patients with mandibular defects by grafting vascularized free fibula flap
Mao Yun-feng.Perioperative nursing care in the reconstruction of 7 patients with mandibular defects by grafting vascularized free fibula flap[J].Journal of Qilu Nursing,2010,16(4).
Authors:Mao Yun-feng
Institution:Mao+Yun-feng+(The+First+People%5c's+Hospital+of+Yunnan+Province,Kunming+Yunnan+650032,China)
Abstract:Objective:To discuss the perioperative nursing method in the reconstruction of mandibular defects by grafting vascularized free fibula flap.Methods:Reconstruction of mandibular defects was applied to 7 patients by grafting vascularized free fibula flap.Comprehensive nursing care was carried out,such as strict preoperative preparation,close postoperative observation on the grafted fibula flap,early detection of vascular crisis,timely adjustment of patient's position,respiratory tract care,oral and dietary ca...
Keywords:Vascularized fibula flap  Mandibular defect  Reconstruction  Nursing  
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