论文部分内容阅读
目的总结先天性小耳畸形耳廓再造术围手术期护理体会。方法回顾性分析我院2013年3月至2015年8月行耳廓再造术的26例先天性小耳畸形患者临床资料,围术期护理体会加以总结,并统计手术效果。结果 26例患者耳廓再造术均顺利完成,术后随访1年,无病例脱落,再造耳廓和健耳匹配性好,凹凸结构清晰,形状较逼真,颅耳角角度和健耳对称性良好;有1例再造耳廓出现软骨吸收与变形,此外均无肋软骨支架感染坏死、皮瓣坏死、切口裂开等并发症发生。结论先天性小耳畸形耳廓再造术较复杂、精细,除需要成熟的手术技术之外,优质的围手术期护理也是保证手术效果的关键。
Objective To summarize the perioperative nursing experience of congenital small ear deformity auricle reconstruction. Methods The clinical data of 26 patients with congenital malformations underwent auricle reconstruction in our hospital from March 2013 to August 2015 were retrospectively analyzed. The perioperative nursing experience was summarized and the surgical results were calculated. Results All the 26 cases received auricular reconstruction successfully. One year after the operation, there was no case shedding, and the auricle conformed with healthy ears. The concavo-convex structure was clear and the shape was more vivid. The cranial-ear angle and the symmetrical ear were good There was one case of auricle reconstruction cartilage absorption and deformation, in addition to no costal cartilage stent necrosis, flap necrosis, incision rupture and other complications. Conclusions Congenital malformation auricle reconstruction is more complicated and precise. Besides the mature surgical technique, high-quality perioperative nursing is also the key to ensure the surgical effect.