髋臼骨折术后异位骨化切除术的围手术期护理

Perioperative care of patients undergoing surgical resection of heterotrophic ossification following surgical treatment of acetabular fractures

报告了6例髋臼骨折术后异位骨化切除术的患者。所有患者在术前均接受放疗前干预性心理支持,术后密切观察切口情况及有无神经损伤情况,并在术后即刻开始指导患者在无痛状况下进行功能锻炼,正确指导口服吲哚美辛预防异位骨化发生。6例患者患髋总活动范围由术前平均8°增加到160°,大大提高了患者的生活质量。

Six cases of severe heterotrophic ossification （HO） following surgical treatment of acetabular fractures were treat ed by surgical resection. The perioperative nursing care included psychological intervention on radiation therapy before operation,close observation of operative incision and nerve injuries after the operation,and proper instruction of joint exercise from the second day after operation. At the same time,all patients took the indomethacin to prevent the occurrence of HO. As a result,the patients＇ total range of movement increased from 8° in average before operation to 160° ,which significantly improved the patients＇ quality of life.