目的：探索少儿不同骨肿瘤应用节段式吻合血管的腓骨移植术围手术期的护理．方法：对１９８０年以来共收治 ２６例少儿长骨低度恶性肿瘤、巨大伴有肢体畸形的良性肿瘤及肿瘤样变；采用肿瘤骨段全部或部分切除，然后分别采用吻合血管的用腓骨移植予以修复．术前着重加强患者的心理护理；疾病的一般知识教育；术后注意患肢（包括供区与受区）制动，现察末梢循环及感觉运动情况，进行皮肤护理，抗感染，功能锻炼指导等相应的护理措施．结果：所有病例均顺利渡过围手术期及康复期，未发生任何并发症，肿瘤性骨缺损修复均获牢固愈合，邻近关节处骨缺损修复其功能恢复令人满意；所有切除骨肿瘤经半年至１０年随访，均未见复发．结论：依据肿瘤切除后腔性骨缺损、大块纵向骨缺损及整段骨缺损不同，采用一套血液供给的单根或多节段腓时移植，既可根治性切除骨肿瘤，又扩大了吻合血管用腓骨移植修复骨缺损的范围，配合相应的护理措施对促进患者的术后康复及并发症的预防具有重要意义． Objective: To explore the perioperative nursing care of fibula transplantation for segmental anastomosis in children with different bone tumors. Methods: Twenty-six children with malignant tumors of long bones, giant benign tumors and tumor-like changes of limb deformity were treated since 1980. All or part of tumor bone segments were resected and then repaired with fibula grafts using vascular anastomosis . Preoperative focus on strengthening the patient’s psychological care; general knowledge of disease education; postoperative attention limbs (including for the area and the affected area) brake, the peripheral circulation and sensory movement were observed, the skin care, anti-infective, functional exercise guidance And other appropriate care measures. Results: All the cases were well perioperative and convalescent. No complications occurred. All the tumors were healed well and the function recovery was satisfactory. The resection of all the adjacent bone defects was satisfactory after six months To 10 years of follow-up, no recurrence. Conclusions: According to the difference of cavity defect, large longitudinal bone defect and whole bone defect after tumor resection, a single or multi-segment fibular transplantation with blood supply can not only radical resect bone tumor but also enlarge Fitting the scope of repairing the bone defect with fibula transplantation and the corresponding nursing measures are of great significance to the promotion of postoperative rehabilitation and complications prevention.