目的

探讨髂骨肌皮瓣移植修复下颌骨缺损手术的护理配合技巧及要点。

方法

回顾性分析23 例采用髂骨肌瓣移植修复下颌骨缺损患者的临床护理资料，总结手术操作的护理配合要点。

结果

经手术护士充分的术前准备和密切的术中配合，全部患者手术过程顺利。 术中注重体温维持和无菌操作技术，23 例患者均未出现血管挛缩现象，血管吻合顺利，术后无血管危象，植骨髂骨肌皮瓣全部成活。

结论

血管化髂骨肌皮瓣移植修复下颌骨缺损是复杂、精细的手术，充分的术前准备以及密切的手术配合是手术顺利进行的重要保障，术中维持恒定的体温对保证血管吻合质量至关重要。

Objective

To study the nursing skills in the treatment of patient after surgery of the vascular ilium transplantation of mandibular defect repair.

Methods

The clinical nursing data of 23 cases which all use belt rotary iliac deep arteriovenous ilium muscle flap transplantation mandibular defect repair after surgery were retrospective analysized， and the nursing points during the operation was summarized.

Results

Twenty three cases had successful operation through sufficient preparation before and after operation， Vascular contraction were not found， vascular anastomosis smoothly without vascular crisis after operation in 23 patients with attention to maintaining body temperature and aseptic technique after operation.

Conclusions

Vascular ilium transplantation with mandibular defect repair is sophisticated operation， sufficient preoperative preparation and post operation cooperation is an important guarantee for the smooth operation， maintain a constant body temperature to ensure the quality of vascular anastomosis operation.