头皮扩张术治疗瘢痕性秃发的护理

摘要

目的 探讨头皮扩张术治疗瘢痕性秃发的围手术期护理,防止并发症,确保治疗取得成功.方法 对12例烧伤后头皮瘢痕性秃发行皮肤扩张器埋置术的患者,加强心理护理,充分做好术前准备,术后密切观察扩张器埋置部位皮瓣的血运情况,加强引流管道的护理,保持引流液管道通畅,防止并发症的发生.结果 12例患者全部扩张皮瓣成活,手术成功.扩张后的头皮软组织修复瘢痕性秃发效果满意.结论 密切观察扩张器埋置皮瓣的血运情况及细心做好引流管道的护理是头皮扩术治疗瘢痕性秃发成功的关键.%Objective To explore the peri-operative nursing to patients of scar baldness treated with scalp expanding, to make sure the operation go on successfully, preventing complications.Methods Enhancing psychological nursing to 12 cases with scalp cicatricial baldness following burn which have had the skin expander embedded operation, well preparation before operation and close observation of blood supply situation of the flap where skin expander was embedded, good nursing care for draining tract, keeping fluid drainage tube patency, preventing complications.Results The expanded flap of all patients of the 12 cases had survived.The operations was successful.The repairing effects of expanded scalp soft tissue on scar baldness were satisfactory.Conclusion Close observation of blood supply of the flap where expander was embedded and good nursing care for draining tract are the keys to the success of scalp expander embedment operation and repair of scar baldness.