组织工程与重建外科杂志2025，Vol.21Issue(2)：138-141,4.DOI:10.3969/j.issn.1673-0364.2025.02.006
皮肤软组织扩张术二期注水扩张失败原因分析及护理对策
Analysis of the causes of expansion failure in skin soft tissue expansion surgery and their nursing countermeasures
摘要
Abstract
Objective To identify the causes of expansion failure during skin soft tissue expansion surgery within a retrospective cohort,and propose effective nursing strategies to reduce the failure rate and improve patient outcomes.Methods A retrospective analysis was conducted on 58 cases receiving skin soft tissue expansion surgery in the Department of Plastic and Reconstructive Surgery from November 2022 to January 2024.The number of cases of expansion failure and its failure reasons were counted,and the improvement measures were put forward based on clinical nursing experience.Results Out of 95 expansion attempts,83 cases were successful,and 12 cases failed.The main causes of failure expansion included leakage of the expander(8 cases),syringe leakage(2 cases),flap necrosis(1 case),and flap infection(1 case).Among those expansion cases that exceeded the rated volume by more than 2 times,the proportion of expansion failure was about 10.6%,which was not statistically significant compared with the total expansion failure rate(12/95,12.6%,P>0.05),indicating that excess expansion did not increase the risk of expansion failure.Conclusion Expansion failure in skin soft tissue expansion surgery is mainly related to leakage of equipment,flap infection and necrosis.In view of these reasons,nursing measures such as strengthening aseptic operation,appropriately selecting needles and injection techniques,and closely monitoring the blood supply of the flap could significantly reduce the occurrence of failure expansion.关键词
皮肤软组织扩张术/扩张失败/护理对策/原因分析/超额扩张Key words
Skin soft tissue expander surgery/Expansion failure/Nursing countermeasures/Cause analysis/Over-expansion分类
临床医学引用本文复制引用
杨兰,吴颖,江雪,杨欣,卞薇薇,黄莹,丁维..皮肤软组织扩张术二期注水扩张失败原因分析及护理对策[J].组织工程与重建外科杂志,2025,21(2):138-141,4.基金项目
上海交通大学医学院附属第九人民医院2023年度护理院级基金项目(JYHL2023MS08) （JYHL2023MS08）
上海交通大学医学院2023年度护理科研项目(JYHZ2313). （JYHZ2313）
