[摘要]目的:探讨扩张后胸三角皮瓣修复面颈部瘢痕的护理要点。方法:回顾分析102例采用扩张后胸三角皮瓣修复烧烫伤后颈面部瘢痕的患者的护理过程。结果:102例中12例扩张器自切口处外露,但未影响手术效果。皮瓣转移后7例单侧尖端皮瓣血运障碍,自行愈合后色素减退;1例单侧转移,皮瓣坏死;其余效果良好。结论:术前进行心理护理至关重要;术后加强基础护理,积极预防并发症的发生,注意观察皮瓣血运是皮瓣转移成活的关键。

    [关键词]皮瓣移植;瘢痕;护理

    [中图分类号]R622 [文献标识码]A [文章编号]1008-6455(2010)04-0592-02

    The nursing method of using deltopectoral flap to repair scar on face and neck after dilatation CHEN Xiao-min,LIU Yun-jing,MA Xian-jie,DIAO Jian-sheng,WANG Chun-fang,XUE La,GIU Yuan-yuan

    (Department of Plastic Surgery,Xijing Hospital,the Fourth Military Medical Univers ity,Xi' an 710032,Shaanxi,China) ......