3D打印个体化钛网修复上颌骨缺损患者的围手术期护理

Perioperative nursing care to patients with maxillary defect repaired by 3D printing individualized titanium mesh

目的总结3D打印技术应用于钛网修复上颌骨缺损患者的护理要点。方法术前护理人员配合医生做好全身疾病控制,预防口腔感染,做好心理护理,术后保持呼吸道通畅,防止创面出血及感染,做好口腔、眼部及疼痛护理,预防脑脊液漏、颅内感染及下肢静脉血栓,坚持康复训练等。结果5例患者住院时间11~20d,平均(14.80±3.31)d,其中1例患者术中发生脑脊液漏,1例患者术后发生角膜水肿,经治疗及护理,全部康复出院。随访6个月,未见肿瘤复发,颌面部外形恢复良好。结论 3D打印技术应用于上颌骨缺损修复患者围手术期护理应做好呼吸道管理,口腔、眼部及疼痛护理,防止创面出血及感染,预防脑脊液漏、颅内感染及下肢静脉血栓等,能促进患者尽快康复。

Objective To summarize the care points of nursing to patients with maxillary defect repaired by 3 D printing individualized titanium mesh.Methods Nursing staff cooperated with doctors to control the disease of the whole body and prevent oral infection by performing psychological nursing,keeping the respiratory tract smooth after operation,preventing bleeding and infection of the wound,conducting oral,eye and pain care,preventing cerebrospinal fluid leakage,intracranial infection and venous blood thrombus of lower extremity and helping the patients with rehabilitation training.Results The hospitalization time of 5 patients was 11~20 d with an average of（14.80 ± 3.31） d.1 case had cerebrospinal fluid leakage during the operation and 1 had postoperative corneal edema.After treatment and nursing,all the patients were discharged from the hospital.Follow-up of 6 months showed no recurrence and good appearance in the maxillofacial region.Conclusion The nursing measures for the patients with to patients with maxillary defect repaired by 3 D printing individualized titanium mesh include respiratory tract management,oral cavity,eye and pain nursing,prevention of bleeding and infection of wound,prevention of cerebrospinal fluid leakage,intracranial infection and venous thrombosis of lower extremities,which can promote the recovery of the patients soon.