颌面部缺损修复术后并发症的防治  

Prevention and management for complications after reconstruction of oral-maxillofacial defects

作　　者：翁雪玲[1,2] 王建广[1] 叶敏莉[1] 

机构地区：[1]中山大学附属第二医院口腔颌面外科,广州510120 [2]中山大学附属第二医院神经内科,广州510120

出　　处：《中华口腔医学研究杂志（电子版）》2010年第1期48-49,共2页Chinese Journal of Stomatological Research(Electronic Edition)

摘　　要：目的回顾性分析组织瓣修复颌面部缺损术后并发症的原因,为其处理提供正确的方案,减少并发症。方法总结分析2006年以来102例口腔癌根治术后组织瓣修复缺损并发症的种类及原因。结果102例中有15例出现并发症,包括窒息、感染、出血、皮瓣部分坏死等,经处理后患者均顺利出院。结论组织瓣修复颌面部缺损术后正确有效的护理可以提高手术成功率,减少并发症的发生。Objective To retrospectively analyze the factors relating to the complications after reconstruction of oral-maxillofacial defects with flaps, explore the optional treatment modality and reduce the incidence of complications. Methods A total of 102 patients who underwent reconstruction of oralmaxillofacial defects with flaps from May 2006 to June 2008 were reviewed to analyze the reasons and factors relating to various kinds of complications. Results Complications such as suffocation, infection, bleeding, necrosis of flap, mental disorder and fistula in submandibular region were recorded in 15 out of 102 patients. After treatment, all patients recovered smoothly. Conclusions Appropriate postoperative care could result in better outcome and less complications for patients who had reconstruction flaps in oral and mxillofacial regions.

关 键 词：缺损 修复 并发症 预防 治疗 

分 类 号：R782[医药卫生—口腔医学]