口腔癌根治术后组织缺损修复皮瓣坏死的原因分析及护理

The Analysis and Nursing of Skin Flap Necrosis Repairing Tissue Defect after Resection of Oral Carcinoma

目的:探讨口腔癌根治术后组织缺损应用带血管蒂肌皮瓣修复出现皮瓣坏死的原因及护理措施。方法:回顾分析13例皮瓣坏死患者的临床资料,探讨影响皮瓣存活的因素,及采用系统化的护理措施的效果。结果:13例带血管蒂肌皮瓣修复口腔癌手术患者,其中2例皮瓣完全坏死,11例皮瓣部分坏死。经采取针对性的清创处理、加强抗感染治疗及系统化的护理措施,伤口均二期愈合,感染控制和伤口愈合时间14～45d,平均21d。结论:严密的病情观察和精心的护理能有效控制和预防口腔癌术后皮瓣坏死的发生,提高手术治疗效果及患者术后生存质量。

Objective:To investigate the causes and nursing measures of skin flap necrosis after vascularized myocutaneous flap to repair the tissue defect in radical operation of oral cancer.Methods:Retrospective analysis of clinical data of 13 cases of skin flap necrosis patients,to explore the factors affecting survival of skin flap,and the systematic nursing intervention effect.Results:13 cases of vascular pedicled muscle flap repair operation in patients with oral cancer, including 2 cases of complete necrosis,11 cases of part necrosis. By adopting the specific debridement treatment,strengthen the nursing measures of anti-infection and systematic,wounds were secondary healing,control of infection and wound healing time was 14-45 d,average 21 d.Conclusion:Close observation and careful nursing can effectively control and prevent the necrosis of skin flap after oral cancer surgery,improve the survival quality of patients after operation.