Abstract: 【Abstract】 Objective To summarize the perioperationive nursing approach for patients undergoing tongue repair by anterolateral thigh flap after tumor ablation. Methods〓Thierty-eight patients with tongue cancer underwent glossectomy and tongue repair by the anterior lateral thigh flap sensitive myocutaneous (ALTF) with vastus lateralis muscle to reconstruct the oral defect. The preoperative and intraoperative nursing experience were collected and summarize up. Results〓All 38 anterolateral thigh flaps survived except one had partial necrosis which healed in secondary after a debridement. Patients had favorable appearance, swallowing and language function. Conclusion〓Preoperative instruments preparation, acquaintance of surgical procedures and cooperation, strict sterile and non-neoplasm touch technology were important step for successful operation.

Key words: Anterolateral thigh flap, Operative cooperation, Tissue ablation, Tongue tumor

摘要： 【摘要】 目的 探讨应用股前外侧肌皮瓣同期修复舌癌根治术后缺损的手术配合,提供护理经验。方法〓对38例同期应用股前外侧肌皮瓣修复舌癌根治术后舌缺损实施术前、术中手术配合和护理。结果〓38例皮瓣均成活,其中1例皮瓣出现边缘坏死,经清创后二期愈合;修复后舌的外形和吞咽、语言功能得到较好地恢复。结论〓术前备齐所需物品,护士应熟悉手术步骤及术中配合,严格执行无菌和无瘤原则是手术成功关键。

关键词: 股前外侧肌皮瓣, 舌癌, 组织缺损, 手术配合