摘要
目的 研究游离腹直肌皮瓣修复口腔颌面部缺损的方法和价值。方法 1999年7月～2000年7月完成21例游离腹直肌皮瓣,分析组织瓣的大小、受区血管、血管吻合方式和技术、皮瓣成活情况、术后并发症及影响皮瓣成活等因素。结果21例组织瓣中20例成活,1例坏死,皮瓣的成功率为95.2％。受区和供区总的并发症发生率为33.3％。早期4例中有2例发生供区切口疝,经保守治疗好转。通过采用聚丙烯酸膜片腹直肌前鞘修补技术,后来的17例均未发生切口疝。吸烟、饮酒、放疗和年龄（高龄和儿童）等均非影响游离腹直肌瓣成功的重要因素。结论 游离腹直肌皮瓣适用于口腔颌面部大型缺损的修复与重建,优于传统的带蒂组织瓣移植。
ve To analysis the rationale and feasibility of head and neck reconstruction using free rectus abdo-minis myocutaneous flap. Methods Twenty-one consecutive free rectus abdominis myocutaneous flap transfers from July 27, 1999 to July 6,2000 were reviewed. Data concerning the operation included date of surgery, defect description and site, stage and histology of tumor, size of flap, recipient vessel and type of anastomosis used and complications. Results Among the 21 free rectus abdominis myocutaneous flaps transfered, 20 survived, made the overall success rate 95.2% . The overall complication rate was 33.3 percent. Two patients in our earlier cases developed hernia after operation, and they were treated successfully by conservative means. After employing prolene mesh for anterior sheath enforcement, no patient developed hernia after operation. Conclusion Free rectus abdominis myocutaneous flap is a versatile flap for reconstructing large head and neck defects. It is superior to the conventional pedicled myocutaneous flap technique . Long-term follow-up is need for further utilization of this flap.
出处
《口腔颌面外科杂志》
CAS
2001年第4期346-348,共3页
Journal of Oral and Maxillofacial Surgery
