ERAS在1例胸骨骨肉瘤行3D打印(PEEK材料)胸肋骨个体化胸壁重建术患者护理中的应用
The Application of ERAS Received 3D Printing (PEEK Material) in 1 Case of Sternal Osteosarcoma with Individualized Nursing in Patients with Thoracic and Rib Reconstruction
DOI: 10.12677/ACRPO.2019.81002, PDF,   
作者: 路 虹, 汤小华, 崔玉琴：中国医学科学院肿瘤医院深圳医院胸外科，广东 深圳
关键词: 胸骨骨肉瘤；ERAS；3D打印；护理；Osteosarcoma of the Sternum； ERAS； 3D Printing； Nursing Care
摘要: 目的：总结ERAS在1例胸壁肿物行3D打印胸肋骨(PEEK材料)个体化胸壁重建术围手术期的应用。方法：针对患者的情况，结合患者个体化的1:1仿真3D打印胸肋骨模型，介绍3D打印的优势以及选择的必要性，针对其疾病特点以及患者的个体情况制订实施护理措施，包括胸壁缺损重建围手术期护理、患者肢体功能锻炼。结果：经多学科通力协作，患者顺利恢复出院。结论：多学科通力协作下实施个体化的ERAS围手术期的护理是对此患者顺利痊愈的关键。
Abstract: Objective: To summarize the nursing methods of individualized chest wall reconstruction with osteosarcoma of the sternum using material of 3D printing. Methods: According to the patient’s condition, combined with the patient’s individualized 1:1 simulated 3D printing model of sternum and ribs, the advantages of 3D printing and the necessity of selection were introduced. Nursing measures were formulated and implemented according to the disease characteristics and patient’s individual conditions, including post-operative nursing of chest wall defect reconstruction, nursing of osteosarcoma of the sternum and patient’s function exercise of limbs. Results: The patient was smoothly discharged from hospital after recovery through multi-disciplinary cooperation. Conclusion: Individualized preoperative and postoperative nursing is the key to the successful recovery of this patient.
文章引用：路虹, 汤小华, 崔玉琴. ERAS在1例胸骨骨肉瘤行3D打印(PEEK材料)胸肋骨个体化胸壁重建术患者护理中的应用[J]. 亚洲肿瘤科病例研究, 2019, 8(1): 7-13. https://doi.org/10.12677/ACRPO.2019.81002

参考文献

[1] 黄秋容, 文艺, 谢延芳, 等. 钛网用于胸骨切除后胸廓重建的效果观察与护理[J]. 中国现代药物应用, 2016, 10(21): 152-153.
[2] Lu, S., Zhang, Y.Z., Wang, Z., et al. (2012) Accuracy and Efficacy of Thoracic Pedicle Screws in Scoliosis with Patient Specific Drill Template. Medical & Biological Engineering & Computing, 50, 751-758. [Google Scholar] [CrossRef] [PubMed]
[3] 卢雯, 吕婕, 黄鹏, 等. 1例胸骨肿瘤行3D打印钛合金胸壁重建术的护理配合[J]. 护理学杂志, 2016, 31(8): 38-39.
[4] 许庆珍, 宋瑰琦, 单丽梅, 等. 术前疼痛教育对开胸术后疼痛控制效果的影响[J]. 护理实践与研究, 2013, 10(10): 1-4.
[5] 杨红伟, 张茹冰, 常雪峰, 等. 振动排痰与呼吸训练器联合预防60例开胸术后肺并发症体会[J]. 黑龙江医药科学, 2015, 38(3): 64-65.