外耳道重建术中钛金属管网状支架的应用及护理配合

Application of titanium stents with mesh structure in external auditory canal reconstruction and related nursing cooperation

目的探讨钛金属管网状支架在外耳道重建术中应用效果,总结手术护理配合措施。方法 9例(9耳)先天性外耳道闭锁患者行外耳道重建术,同时内置钛金属管网状内支架支撑外耳道。术后保留钛金属管网状支架,1年后取出。护理人员术前实施针对性心理护理,完善手术准备,密切监护生命体征;术中士严格执行无菌操作,积极配合手术医师;术后开展体位护理、负压引流观察和出院指导。结果术后随访2年,全部病例新成形的外耳道形态好,无再度狭窄或闭锁。结论外耳道重建术中应用钛金属管网状支架,对预防术后外耳道再度狭窄或闭锁效果好。围手术期护理配合是确保手术顺利、减少术后并发症的重要因素。

Objective To observe the application of titanium stents with mesh structure in external auditory canal reconstruction,and to summarize cooperative nursing measures before and after surgical treatment.Methods Totally 9 cases(9 ears)of congenital aural atresia received external auditory canal reconstruction.The titanium stents with mesh structure was adopted to support the reconstructed external auditory canal,and it was removed at 1 year after operation.Nursing management included psychological care,surgical preparation,vital sign monitoring,sterilized operation,surgical position care,negative pressure drainage management and health education before discharge.Results After 2 years’follow-up,there was no patient with recurrence of external auditory canal atresia or stricture.Conclusion Application of titanium stents with mesh structure is effective to prevent the recurrence of atresia or stricture after external auditory canal reconstruction.The perioperative nursing management is equally impartment for the rehabilitation.