超声骨刀在颌骨肿瘤手术中应用的护理配合

Nursing cooperation during application of piezosurgery in jaw bone tumor operation

目的 总结超声骨刀在颌骨肿瘤手术中的配合要点.方法 选择2007年以来收治颌骨肿瘤患者64例,随机分成超声骨刀组和常规组各32例,超声骨刀组患者术中应用超声骨刀,常规组患者使用骨凿传统手术方法,对2组术中感受、手术时间、手术出血、术后反应、并发症进行观察并比较.结果 超声骨刀组术中不适、术中出血均轻于常规组,在手术时间上常规组显著短于超声骨刀组.2组均未发生手术后感染、出血、神经损伤等并发症.结论 应用超声骨刀进行颌骨肿瘤切除术可增加患者术中舒适感和减少出血,要求熟悉手术程序,掌握护理要领,才能默契地配合手术.

Objective To make a summary of the clinical application and cooperation of piezosurgery in jaw bone tumour operation. Methods 64 patients with jaw bone tumour were selected since 2007 and were divided into the piezosurgery group and the routine group, they used piezosurgery and routine osteotome respectively. Feelings during operation, operation time, hemorrhage, postoperative reaction and complication were observed and compared. Results Discomfort and hemorrhage during operation was lighter, but operation was longer in the piezosurgery group compared with the routine group. Complications such as postoperative infection, hemorrhage and nerve damage did not occurred. Conclusions Application of piezosurgery in jaw bone tumor operation can increase comfort degree and reduce hemorrhage, it requires proficiency in operation procedures and master key aspects of nursing, so that can cooperate well.