中国美容医学2012，Vol.21Issue(13)：1845-1847,3.
应用口腔黏膜炎卷管游离移植修复尿道下裂的围手术期护理
Perioperative nursing management for congenital hypospadias treated by using oral mucosa free grafting
王世妍 1赵军霞 1刘宝芹 1齐凤美1
作者信息
- 1. 中国医学科学院北京协和医学院整形外科医院手术室 北京100144
- 折叠
摘要
Abstract
Objective To discuss the nursing management during the treatment of congenital hypospadias treated by using oral mucosa free grafting. Methods From January 2007 to January 2012, 68 urethra hypospadias patients treated by using oral mucosa free grafting were retrospectively analyzed, they aged 5 to 27 years old, an average of 12 years. They were characterized of different types of hypospadias. After correction of chordee, the tubed oral mucosa was used to prefabricate urethra in penis as free graft. The uretheral anastomosis was performed at the second stage. The scrotum fascia flap, pedicled with scrotal artery, was transferred to cover the penile defect. Perioperative nursing management was given for psychological and oral, perineal surgery area. Results All 68 cases got primary healing, postoperative urinary fistula occured in four cases, mucosa survived in 66 cases (97%). Conclusion Using oral mucosa free grafting for treating urethra hypospadias patients has higher achievement ratio and fewer complications, postoperative penile appearance, and close nursing management is an important factor of successful operation.关键词
先天性尿道下裂/口腔黏膜炎/移植/护理Key words
congenital hypospadias/ oral mucosa/graft/nursing分类
医药卫生引用本文复制引用
王世妍,赵军霞,刘宝芹,齐凤美..应用口腔黏膜炎卷管游离移植修复尿道下裂的围手术期护理[J].中国美容医学,2012,21(13):1845-1847,3.
