面动脉穿支接力皮瓣修复中面部缺损术后综合护理的效果观察

Observation on the effect of comprehensive nursing after repairing middle facial defect with facial artery perforator relay flap

目的探讨面动脉穿支接力皮瓣修复中面部缺损术后综合护理效果。方法选取遵义医科大学附属医院烧伤整形外科2019年10月至2021年10月收治的肿瘤及外伤致中面部皮肤软组织缺损患者26例,其中男14例,女12例,年龄36~78岁。根据肿瘤情况及外伤面积,设计面动脉穿支接力皮瓣进行中面部缺损修复。术后进行综合护理,包括患者与病房基础管理、术区保护、整体观察及支持治疗、对局部皮瓣进行皮温监测、设计皮瓣颜色观察标准化色卡等措施。结果26例患者术后皮瓣均顺利成活,切口一期愈合,无血管危象等并发症发生。术后随访7.5(3~12)个月,术区瘢痕不明显,皮瓣外观、颜色、质地均良好。患者自评手术效果,非常满意21例,满意5例。结论应用面动脉穿支接力皮瓣修复中面部缺损,临床效果满意。加强术后综合护理,有利于改善预后。

Objective To explore the effect of comprehensive nursing after repairing middle facial defect with facial artery perforator relay flap.Methods A total of 26 cases with middle facial defect for reasons of tumors and trauma treated in Department of Burn and Plastic Surgery,the Affiliated Hospital of Zunyi Medical University from October 2019 to October 2021 were enrolled.There were 14 males and 12 females,aging from 36 to 78 years.According to the condition of tumors and the area of trauma,the facial artery perforator relay flap were designed to repair the middle facial defects.Comprehensive nursing was used after operation,including basic managements of patients and wards,protection of the operated area,holistic observation,supportive treatment and real-time monitoring for local skin flaps.Results All flaps survived after operation,primary healing of incision was obtained,and no complications such as vascular crisis were found.The patients were followed up for 7.5(3-12)months.No obvious scar occurred in the surgery area,and the flap featured good appearance,color and texture.General effects of the operation by patients′estimation were excellent in 21 cases,good in 5 cases.Conclusion The application of facial artery perforator relay flap in repairing middle facial defects has satisfactory clinical effect.Strengthening the comprehensive nursing is helpful to improve the prognosis after the operation.