CAJ | 학술논문

目的：探讨游离前臂皮瓣修复口腔颌面部缺损中微血管吻合器应用的可靠性。方法：2013-04—2014-05期间，应用微血管吻合器对19名患者行口腔颌面缺损游离前臂皮瓣修复，共应用微血管吻合器22枚，观察其吻合时间、吻合血管通畅率、皮瓣成活率及吻合后并发症等情况。结果：19例患者中，应用微血管吻合器吻合静脉19条、动脉3条，吻合时间明显缩短，吻合后血管通畅率为100%，皮瓣成活率为100%，未出现与微血管吻合器相关的术中及术后并发症。结论：微血管吻合器在游离前臂皮瓣修复口腔颌面部缺损中有良好的血管吻合效果，具有较高的临床意义及应用价值，值得推广。
목적：탐토유리전비피판수복구강합면부결손중미혈관문합기응용적가고성。방법：2013-04—2014-05기간，응용미혈관문합기대19명환자행구강합면결손유리전비피판수복，공응용미혈관문합기22매，관찰기문합시간、문합혈관통창솔、피판성활솔급문합후병발증등정황。결과：19례환자중，응용미혈관문합기문합정맥19조、동맥3조，문합시간명현축단，문합후혈관통창솔위100%，피판성활솔위100%，미출현여미혈관문합기상관적술중급술후병발증。결론：미혈관문합기재유리전비피판수복구강합면부결손중유량호적혈관문합효과，구유교고적림상의의급응용개치，치득추엄。
Objective:To evaluate the clinical value of microvascular anastomotic devices in free antebrachial flap anasto-mosis in the reconstruction of oral and maxillofacial defects. Methods: From April 2013 to May 2014, 22 pieces of mi-crovascular anastomotic advices were applied in 19 patients with oral and maxillofacial defects. The length of anastomosis time, patency rate, flap survival rate, and complications were observed and recorded. Result:In 19 patients, microvascular anastomotic devices were applied in 19 veins and 3 arteries with shorter anastomosis time. The flap survival and vascular anastomosis patency rate was 100%. No intra- and post-operative complications associated with microvascular anastomotic devices were observed. Conclusion:This paper provides an evaluation of the applicable foreground on the effectiveness of microvascular anastomotic devices.