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1、唇裂术后鼻畸形矫正术后的观察与护理［摘要］目的：探讨鼻部亚单位综合整形矫止单侧完全性唇裂鼻畸形术后的临床观察与护理。方法：2007年1月至2011年6月收治79例单侧完全性唇裂修复术后鼻畸形病例。该组病例男35例，女44例；年龄9〜53岁。左侧43例，右侧36例。唇裂修复术至二期矫正手术间隔时间为2-52年，平均15年。鼻畸形主要为鼻小柱向健侧偏斜、短缩，鼻中隔歪曲,鼻翼扁平、塌陷，鼻孔宽大、双侧不对称，鼻翼脚错位，口鼻漏等，根据患者不同的畸形情况制定不同的综合鼻整形方案，并个性化进行术前、术屮、术后护理干预
2、。结果：患侧鼻翼基本恢复正常弧度，双侧鼻孔对称。术后患者均获随访，随访时间3个月〜2年，平均10个月。切口隐蔽，未见明显瘢痕，鼻外形维持良好。结论：根据鼻部各亚单位畸形特点及形成原因，进行个性化设计及矫正，再配合止确的护理干预，使得临床效果十分满意。［关键词］护理；唇裂；鼻畸形；鼻部亚单位［中图分类号1R473［文献标识码］A［文章编号］1008-6455(2014)08-0675-03Cleft,lipnasaldeformitypostoperativeobservationandcareYANGYun-
3、chuan,KOUIlui-ling,SillYu-qi,ZHANGJun-bo,WANGYuan-yuan,YANGYa-dong,LUYuan-gang(DepartmentofPlastic&Comestic,DapingHospital,TheThirdMilitaryMedicalUniversity,Chongqing,400042,China)Abstract：ObjectiveToexplorethenursingstrategyafternasalsubunitcomprehensiveor
4、thopediccompleteunilateralcleftlipnasaldeformitysurgerytopromoteclinicaloutcome.MethodsFromJanuary2007toJune2011,79patientswithnasaldeformityafterprothesisofuni1ate佗1completecleftlipweretreated.Therewere35malesand44femalesaged9〜53yearsold・Thedeformitylocate
5、dontheleftsidein43casesandtherightsidein36cases.Timebetweencleftlipprothesisandsecondaryepithesiswas2~52years(average15years).Themajormanifestationsofthedeformityweredeviationandcrispationtowardsnonnalsideofnasalcolumella,distortionofnasalseptum,applanation
6、andcollapseofnasalala,lenityandasymmetryofnostriIs,malpositionofnasalalarbasement.Patientswithabnormalsituationsaccordingtothedifferentintegratedrhinoplastyfordifferentprogramsandpersonalizedpreoperative,intraoperativeandpostoperativecareintervention.Result
7、sTheeffectofepithesiswasgoodwithsuchmanifestationsasthenormalradianofinjurednasalalaandsymmetricalnostils.Allpatientswerefollowedupfor3months~2years(average10monlhs).Theincisionwashiddenwithwell-maintainedappearanceandnoobviousscar.ConclusionBasedonfeatureo
8、fnasalsubunitsandformationcausesofdeformity,theindividual-orientatedepithesisdesignandcorrectionwereperformed.Togetherwiththerightcareintervention,satisfactoryclinicalresultswereobtained.Keywords：nurse
