先天性小耳畸形二期法耳廓再造术的护理

摘要

Objective To summarize the nursing experience of two-stage operation of auricular reconstruction in congenital microtia. Methods 103 cases of two-stage auricular reconstruction of microtia patientswith the assessment and care of the preoperative psychological status ,skin preparation and posture training.the postoperative observation and nursing of negative pressure drainage and local flap situations,the reconstructed ear and the rib cartilage donor. Results The surgical results were satisfactory to the patients and the irfa milies whose reconstructed ear had verisimilar shape. Conclusion The auricle reconstruction surgery is difficult.In addition to good prognosis is related with the technology level of the doctors,and the high quality nursing before and after operation,the coordination of the patients and their families have a close relationship.%目的：总结先天性小耳畸形二期法耳廓再造术的护理体会。方法：对103例行二期法耳廓再造术的小耳患者实施术前心理状况评估与护理，皮肤准备及体位训练等，术后做好负压引流及皮瓣的观察与护理，再造耳和肋软骨供区的局部护理。结果：再造耳解剖结构清晰，形态逼真，患者及家属对治疗效果满意。结论：耳廓再造手术难度大，良好的预后效果除与医生技术水平有关外，还与手术前后优质护理、患者及家属的高度配合密切相关。