摘要
目的 对 5 0例口腔颌面部游离前臂皮瓣移植作回顾性分析。方法 1999年 5月 2 6日～ 2 0 0 0年 8月 3日期间完成的连续 5 0例游离前臂皮瓣移植 ,分析所采用组织瓣的设计、受区血管、血管吻合方式和技术、皮瓣成活情况及术后并发症的发生情况 ,并分析有可能影响皮瓣成活的各种因素。结果 5 0例前臂皮瓣全部成活 ,成功率 10 0 % ,无一例发生全部或部分坏死 ,皮瓣术后血栓的发生率为 6 % ,均为静脉血栓 ,抢救成功率为 10 0 % ;受区和供区总的并发症发生率为 2 8% ,但大多数并发症均不严重 ,没有造成明显的后果 ;吸烟、饮酒、放疗和年龄 (高龄和儿童 )等均非影响游离组织瓣移植成功的重要因素。结论 游离前臂皮瓣在口腔颌面部缺损的修复中具有很大的灵活性 ,其制备简便 ,安全可靠 ,明显优于传统的带蒂组织移植 ,值得推广和应用。
Objective To review 50 consecutive free radial forearm flap transfers for head and neck reconstruction in a new microsurgery unit.Methods Fifty consecutive free radial forearm flap transfers from May 26 1999 to August 3 2000 were reviewed.Data concerning the operation included date of surgery,defect description and site,stage and histology of tumor,design of radial froearm flap,recipient vessel and type of anastomosis used and complications.Results All the 50 free radial forearm flaps survived completely,with no total or partial necrosis.The overall success rate was 100%.The vessel thrombosis rate was 6 percent and the flap salvage rate was 100 percent.The overall complication rate was 28 percent.Apart from one case of skin necrosis of the donor forearm,there was no other serious complication.Conclusion Free radial forarm flap is a versatile workhorse free flap in the reconstruction of head and neck defects.It is much more convenient compared with other free flaps,and it is very safe and reliable.
出处
《现代口腔医学杂志》
CAS
CSCD
2002年第2期138-140,共3页
Journal of Modern Stomatology
