老年患者口腔颌面部游离组织瓣移植围术期并发症分析  

The analysis of perioperative complications of free flap transfers for oral and maxillofacial reconstruction in the elderly patients during perioperative period

作　　者：栾修文[1] 艾伟健[1] 刘曙光[1] 周会喜[1] 曾曙光[1] 王治平[1] 李志强[1] 

机构地区：[1]广东省口腔医院.南方医科大学附属口腔医院,副主任医师广东510280

出　　处：《中华老年口腔医学杂志》2011年第3期160-163,共4页Chinese Journal of Geriatric Dentistry

基　　金：广东省医学科研基金(A2011091)

摘　　要：目的:探讨游离组织瓣移植在老年患者口腔颌面部缺损重建中的可行性和安全性。方法:2006年6月至2010年1月由同一手术小组完成连续39例60岁以上老年患者口腔颌面部游离组织瓣移植,分析移植成功率及围术期并发症的发生情况。结果:游离组织瓣移植成功率为100%。围术期全身并发症的发生率为12.8%(5/39),局部并发症的发生率为38.5%(15/39),围术期无患者死亡。结论:老年患者口腔颌面部游离组织瓣移植安全可靠,妥善的围术期处理能降低并发症的发生率,提高移植成功率。Objective:To analyze the security and feasibility of free flap transfers for oral and maxillofacial reconstruction in the elderly patients.Methods:Thirty-nine consecutive free flap transfers performed in 39 patients more than 60 years old from June 2006 to May 2010 were reviewed.Results:The overall success rate of flap was 100%.Five patients(12.8%) had general complications including pneumonia(3 cases),congestive heart failure(1 case) and stress ulcer(1 case).In all,15 patients(38.5%) had at least one local complication.There were no death occured within perioperative period.Conclusion:Free flap transfer in the elderly patients for oral and maxillofacial reconstruction is safe and reliable.

关 键 词：游离组织瓣 老年患者 重建 

分 类 号：R783[医药卫生—口腔医学]