摘要
目的 探讨应用游离组织瓣移植行双侧上颌骨缺损修复的可行性和应用价值。 方法 对 1999年 7月～ 2 0 0 3年 8月期间完成的 16例应用游离组织瓣行双侧上颌骨缺损修复的病例作回顾性研究 ,分析上颌骨缺损的原因、缺损的分类、所采用组织瓣的类型、受区血管、游离瓣成活情况及术后并发症的发生情况 ,并分析应用游离组织瓣行双侧上颌骨缺损修复的适应证和可行性。 结果 所采用的游离瓣包括腓骨瓣 ( 9块 )、腹直肌皮瓣 ( 6块 )、前臂皮瓣 ( 3块 )。术后 1例腓骨瓣出现血管危象 ,经抢救成活 ,其余的游离瓣术后均未出现血管危象 ,并全部获得成活。受区和供区总的并发症发生率为3 1 3 % ,除了早期的 2例供区并发症外 ,其余的并发症均不严重 ,没有造成严重后果。 结论 应用游离组织瓣行双侧上颌骨缺损修复安全可靠 ,成功率高 ,且有利于改善患者术后的功能和外形 ,值得进一步研究和应用。应根据不同缺损的具体特点选择合适的游离组织瓣移植。
Objective To analyze the rationale and feasibility of bilateral maxillary reconstruction using free flaps. Methods Sixteen consecutive cases of bilateral maxilary reconstruction used free tissue transfer from July 1999 to August 2003 were reviewed.Data concerning the operation included diagnosis of disease,classification of defect,type of free flaps used,recipient vessels,survival of free flaps and complications. Results Three types of free flap were used for bilateral maxillary reconstruction.The free fibula flap was most commonly used,followed by rectus abdominis flap and free radial forearm flap.All the eighteen flaps survived completely,with the overall success rate of 100%.The overall complication rate was 31.3%.Apart from one hernia in our earlier cases,all the complications were minimal. Conclusion Bilateral maxillary reconstruction using free tissue transfer is safe and reliable.
出处
《中华显微外科杂志》
CSCD
北大核心
2004年第3期172-174,共3页
Chinese Journal of Microsurgery
