组织工程与重建外科杂志

组织工程与重建外科杂志 ›› 2023, Vol. 19 ›› Issue (1): 61-.

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 扩张颞浅岛状皮瓣联合激光脱毛治疗面颈部瘢痕的护理

  

  • 出版日期:2023-02-01 发布日期:2023-03-08

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Nursing care of patients with facial and cervical scar treated with expanded superficial temporal island flap combined with laser hair removal

  • Online:2023-02-01 Published:2023-03-08

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摘要：

目的　探讨扩张颞浅岛状皮瓣联合激光脱毛治疗面颈部瘢痕患者的护理方法。方法　2015 年 1 月至 2018年 12 月，我们采用扩张颞浅岛状皮瓣联合激光脱毛治疗面颈部瘢痕患者 10 例，期间给予心理护理、皮肤护理、体位护理、创面护理及激光治疗的护理。结果　本组仅 1 例出现术后血运障碍，属静脉回流障碍，经 48 h 间断针刺放血后皮瓣血运逐渐稳定 ；其余患者皮瓣成活良好，创面Ⅰ期愈合。术后随访 1 年，10 例皮瓣均完全存活，面颈部外形良好，功能改善。结论　扩张颞浅岛状皮瓣联合激光脱毛治疗面颈部瘢痕，及时有效的围手术期护理和激光脱毛治疗期护理可有效减少并发症的产生。

关键词:

Abstract:

　Objective　To explore the nursing methods for patients with facial and neck scar treated by expanded superficial
temporal island flap combined with laser hair removal. Methods　From January 2015 to December 2018, 10 patients with
facial and neck scars were treated with expanded superficial temporal island flap combined with laser hair removal. During the
treatment, psychological care, skin care, posture care, wound care and laser care were given. Results　A total of 10 cases were
reviewed in this group. After postoperative nursing, only 1 case had postoperative blood circulation disorder, which belonged
to venous reflux disorder. After 48 hours of intermittent acupuncture and bloodletting, blood circulation of the flap gradually
stabilized. After 1 year follow-up, all the 10 flaps survived completely, with good appearance and improved function of the face
and neck. Conclusion　For the treatment of facial and neck scar with expanded superficial temporal island flap combined
with laser hair removal, timely and effective perioperative nursing and laser hair removal treatment can effectively reduce the
occurrence of complications.

Key words:

nursing