犬拔牙术及转瓣术是.ppt

犬拔牙术及皮瓣移植 2009 级 口 腔 学 院 学号：0910750108谭 玲 一、犬拔牙术二、皮瓣转移 1. 移位皮瓣制备和缝合 2.滑行皮瓣制备和缝合 手术前准备：将狗进行全身麻醉，铺巾，将狗置于无菌巾之上，将肥皂液涂于犬口内和腹部的手术区，剃腹部毛，再在术区涂碘酒消毒，然后用酒精脱碘。 术前清点手术器械 铺无菌巾，将犬置于无菌巾上 在犬腹部术区涂肥皂液 去除犬腹将进行手术的区域的毛 在犬口内将进行手术部位涂肥皂液 犬口内碘酒消毒 犬口内酒精脱碘 犬腹部酒精脱碘 腹部碘酒消毒 一、犬拔牙术(下颌尖牙) 1准备拔除下颌尖牙所需器械，调节犬头位，用钳子撑开犬嘴巴使其张大口.2.操作要点：a.用牙龈分离器分离牙龈b.使用牙挺挺松犬牙（将牙挺置入之前核对牙位，左手保护好邻牙及周围组织，不以邻牙做支点）c.使用鹰嘴钳唇舌向摇动，唇侧牵引脱位d.拔除脱位，禁止使用暴力，伤及对颌牙及邻牙e.牙拔除后检查所拔牙齿是否完整，有无断根f.擦干血迹 分离牙龈，挺松犬牙 鹰嘴钳唇舌向摇动，唇侧牵引脱位 检查牙齿完整，无断根 1，移位皮瓣制备和缝合：按60度角制备Z形皮瓣，形成两个相对的三角皮瓣，彼此交换位置后缝合。2，滑行皮瓣制备和缝合：Y形切开皮肤，潜行分离后作V形缝合。利用组织的弹性，将三角形皮瓣向前推进，把切口缝合成V形，则可使皮肤长度缩短，宽度增加。 移位皮半制备 潜行分离 Z字缝合（手术钳打结） Z字缝合示意图 滑行皮瓣制备 皮瓣的制备及分离 Y形切开，v形缝合示意图 术后清点器械 手术完成 谢谢观赏！ * Evaluation only. Created with Aspose.Slides for .NET 3.5 Client Profile 5.2.0.0. Copyright 2004-2011 Aspose Pty Ltd. Evaluation only. Created with Aspose.Slides for .NET 3.5 Client Profile 5.2.0.0. Copyright 2004-2011 Aspose Pty Ltd. Evaluation only. Created with Aspose.Slides for .NET 3.5 Client Profile 5.2.0.0. Copyright 2004-2011 Aspose Pty Ltd. Evaluation only. Created with Aspose.Slides for .NET 3.5 Client Profile 5.2.0.0. Copyright 2004-2011 Aspose Pty Ltd. Evaluation only. Created with Aspose.Slides for .NET 3.5 Client Profile 5.2.0.0. Copyright 2004-2011 Aspose Pty Ltd. Evaluation only. Created with Aspose.Slides for .NET 3.5 Client Profile 5.2.0.0. Copyright 2004-2011 Aspose Pty Ltd. Evaluation only. Created with Aspose.Slides for .NET 3.5 Client Profile 5.2.0.0. Copyright 2004-2011 Aspose Pty Ltd. Evaluation only. Created with Aspose.Slides for .NET 3.5 Client Profile 5.2.0.0. Copyright 2004-2011 Aspose Pty Ltd. Evaluation only. Created with Aspose.Slides for .NET 3.5 Client Profile 5.2.0.0. Copyright 2004-2011 Aspose Pty Ltd. Evaluation only. Created with Aspose.Slides for .NET 3.5 Client Profile 5.2.0.0. Copyright 2004-2011 Aspose Pty Ltd. Evaluation only. Created with Aspose.Slides for .NET 3.5 Client Profile 5.2.0.0. Copyright 2004-2011 Asp