腓骨肌皮瓣修复重建口腔颌面部肿瘤术后缺损的护理

Nursing for Repair and Reconstruction of Postoperative Oral and Maxillofacial Defect with Fibula Myocutaneous Flap

目的 探讨游离腓骨肌皮瓣修复重建口腔颌面部肿瘤术后缺损的围手术期护理.方法 对2007年1月至2010年12月行下颌骨部分切除术后腓骨皮瓣移植修复的10例患者的临床资料及护理措施进行回顾性分析.结果 10例患者血管吻合成功,骨肌皮瓣均成活.术后随访1～3年,无患者因制取腓骨后而影响下肢正常活动功能;颌面部外形恢复良好,术后咬合、语音、进食功能正常.结论 应用腓骨肌皮瓣移植重建颌面部缺损具有较好的疗效,认真做好术前准备、术后严密监测皮瓣情况、采取有针对性、个性化的护理措施是手术成功的重要环节.

Objective To explore the nursing for repair and reconstruction of postoperative oral and maxillofacial defect with fibula myocutaneous flap. Methods Ten patients received fibula myocutaneous flap transplant and repair after partial resection of mandible in our hospital from January 2007 to December 2010, and their clinical data and nursing measures were analyzed retrospectively. Results In all of the ten cases, blood vascular was anastomotic, and fibula myocutaneous flap survived. During the postoperative follow-up of 1 to 3 years, no patients＇ lower extremity normal activity function was affected by the transplantation. Facial appearance resumed well, postoperative occlusive movement, linguistic and masticatory functions regained normal. Conclusions Repair and reconstruction of postoperative oral and maxillofacial defect with fibula myocutaneous flap is effective. Overall preoperative preparation, comprehensive postoperative monitoring, as well as corresponding and personalized nursing measures are keys for the success of operation.