摘要
【目的】回顾分析游离股前外侧皮瓣坏死的成因，总结其应对方法，以期提高该类手术的成功率。【方法】对523例游离股前外侧皮瓣修复口腔颌面部恶性肿瘤切除术后缺损的病例进行回顾性分析，探讨术后皮瓣坏死的原因。【结果】出现皮瓣危象共48例，急救探查后抢救成功18例，最终坏死30例，手术成功率94．2％。【结论】皮瓣坏死受患者全身情况、皮瓣制取方法、供受区情况及术中术后处理措施等多因素的影响。应对的关键在于保持皮瓣血流通畅、术中妥善止血和术后充分引流及良好的口腔护理等。
[Objective]To analyze retrospectively the causes of the necrosis of free anterolateral thigh flaps and summarize its prevention and cure in order to increase the achievement ratio of the surgery. [Methods] Totally 523 cases who underwent free anterolateral thigh flap operation after oromaxillo-facial malignant tumor resection were analyzed retrospectively. The causes of the necrosis of postoperative flaps were discussed. [Results] Flap crisis occurred in 48 cases. Among them, 18 cases were rescued after emergency exploration and 30 cases were ultimately necrosis. The achievement ratio of the surgery was 94.2%. ~[Conclusion] Flap necrosis is affected by multiple factors such as the whole body status, the method of preparing the flap, the condition of donor and recipient areas and the management during and after operation. Smooth blood flow of the flap, appropriate haemostasis during operation, complete drainage and good month care after operation are the key to prevent the flap necrosis.
出处
《医学临床研究》
CAS
2011年第5期908-910,共3页
Journal of Clinical Research
