枕下乙状窦后入路听神经瘤切除术中聚氨酯凝胶.PDFVIP

2015 30 7 West China Medical Journal Vol.30 No.7 Jul. 2015 1285 华西医学 , （ ） , , ·临床护理· 枕下乙状窦后入路听神经瘤切除术中聚氨酯凝胶 头圈与Mayf ield头架摆体位对患者 面部压伤影响的效果评估 马明珠，杨立惠，文波，程华，龚仁蓉 四川大学华西医院手术室（成都 610041） 【摘要】 目的 评估聚氨酯凝胶头圈摆体位与 Mayfield 头架辅助摆体位在枕下乙状窦后入路听神经瘤切除 术中对患者面部压伤的影响。方法 回顾性分析 2013 年 1 月－ 2014 年 1 月侧俯卧位下通过显微外科手术治疗的 90 例听神经瘤患者临床资料及术中护理资料，其中 28 例予以聚氨酯凝胶头圈摆体位（A 组），62 例予以 Mayfield 头架摆体位（B 组），就两种摆体位方法对患者面部压伤情况进行比较。结果 A 组出现 5 例异常（2 例下侧额颧部、 下颌部处皮肤压伤，2 例下侧眼结膜水肿，1 例同时合并下侧颧部皮肤压伤和下侧眼结膜水肿），压伤率为 17.86%； B 组出现 1 例下颌部皮肤压伤，压伤率为 1.61%，两组比较差异有统计学意义（χ2=5.778 ，P=0.016 ）。结论 枕下乙 状窦后入路听神经瘤切除术中，May eld 头架辅助摆体位可以较好的避免对患者面部的压伤。 【关键词】 枕下乙状窦后入路；摆体位；May eld 头架 E ect of Polyurethane Gelatum Grommet and May eld Head Holder to Fix Positioning under Suboccipital Retrosigmoid Approach in Acoustic Neuroma Resection on Patients’ Facial Crushing MA Ming-zhu, YANG Li-hui, WEN Bo, CHENG Hua, GONG Ren-rong Department of Operating Room, West China Hospital, Sichuan University, Chengdu, Sichuan 610041, P. R. China Corresponding author: GONG Ren-rong, Email: 519136942@ 【Abstract 】 Objective To assess the effect of polyurethane gelatum grommet positioning and Mayfield head holder positioning under suboccipital retrosigmoid approach in acoustic neuroma resection on patients’ facial crushing. MethodsRetrospective analysis of the clinical and nursing data of 90 patients treated by microsurgical surgery under the lateral prone position in our hospital from January 2013 to January 2014 was carried out. Patients in group A (n=28) were given grommet positioning, while those in group B (n=62) were given May eld head holder positioning, and then we compared the situation of facial crushing between the two groups. ResultsIn group A, 5 patients showed abnormality including 2 cases of skin injury in lower fronto