中华显微外科杂志
中華顯微外科雜誌
중화현미외과잡지
Chinese Journal of Microsurgery
2010年
5期
357-359,后插3
,共4页
罗翔%谭海涛%江建中%陆俭军%韦平欧%杨克勤%覃天金%林汉
囉翔%譚海濤%江建中%陸儉軍%韋平歐%楊剋勤%覃天金%林漢
라상%담해도%강건중%륙검군%위평구%양극근%담천금%림한
头颈部%游离皮瓣%移植%显微外科手术
頭頸部%遊離皮瓣%移植%顯微外科手術
두경부%유리피판%이식%현미외과수술
Head and neck%Free flap%Transfer%Microsurgical operation
目的 总结应用游离皮瓣修复头面颈部巨大软组织缺损的临床经验.方法 对头面颈部巨大软组织缺损应用游离皮瓣修复23例,其中股前外侧皮瓣15例,腹壁下动脉穿支皮瓣5例,上臂外侧皮瓣3例,皮瓣切取面积范围分别为6 cm×10 cm～15 cm×22 cm、4 cm×9 cm～8 cm×16 cm和4 cm×6 cm～5 cm×9 cm.结果 术后皮瓣全部成活,1例发生动脉危象,经手术取出血栓重新吻合血管后皮瓣成活,1例发生远端表皮水疱,1例发生边缘少部分脂肪液化,均经换药治疗后愈合,术后随访3个月～10年,皮瓣外观良好.结论 应用游离皮瓣修复头颈部巨大软组织缺损临床效果良好.
目的 總結應用遊離皮瓣脩複頭麵頸部巨大軟組織缺損的臨床經驗.方法 對頭麵頸部巨大軟組織缺損應用遊離皮瓣脩複23例,其中股前外側皮瓣15例,腹壁下動脈穿支皮瓣5例,上臂外側皮瓣3例,皮瓣切取麵積範圍分彆為6 cm×10 cm～15 cm×22 cm、4 cm×9 cm～8 cm×16 cm和4 cm×6 cm～5 cm×9 cm.結果 術後皮瓣全部成活,1例髮生動脈危象,經手術取齣血栓重新吻閤血管後皮瓣成活,1例髮生遠耑錶皮水皰,1例髮生邊緣少部分脂肪液化,均經換藥治療後愈閤,術後隨訪3箇月～10年,皮瓣外觀良好.結論 應用遊離皮瓣脩複頭頸部巨大軟組織缺損臨床效果良好.
목적 총결응용유리피판수복두면경부거대연조직결손적림상경험.방법 대두면경부거대연조직결손응용유리피판수복23례,기중고전외측피판15례,복벽하동맥천지피판5례,상비외측피판3례,피판절취면적범위분별위6 cm×10 cm～15 cm×22 cm、4 cm×9 cm～8 cm×16 cm화4 cm×6 cm～5 cm×9 cm.결과 술후피판전부성활,1례발생동맥위상,경수술취출혈전중신문합혈관후피판성활,1례발생원단표피수포,1례발생변연소부분지방액화,균경환약치료후유합,술후수방3개월～10년,피판외관량호.결론 응용유리피판수복두경부거대연조직결손림상효과량호.
Objective To review clinical experience of free flap transferring in the reconstruction of head and neck defects. Methods Fifteen free anterolateral thigh flaps, 5 free deep inferior epigastric flaps and 3 free lateral arm flaps were used to reconstruct large area head and neck defects. Results All 23 free flaps were alive with good appearance. 1 case survived by performing embolectomy after suffering arterial crisis and delayed recovery of wound took place in 2 cases. Conclusion Free flap transplantation is an ideal choice for reconstructing large area cranio-facio-cervical defects.
