应用游离皮瓣修复头颈部大面积软组织缺损  

Free flap transplantation in the reconstruction of large area defects in head and neck

作　　者：罗翔[1] 潭海涛 江建中[1] 陆俭军[1] 韦平欧[1] 杨克勤[1] 覃天金[1] 林汉[1] 

机构地区：[1]广西贵港市人民医院骨科创伤手外病区 ,537100

出　　处：《中华显微外科杂志》2010年第5期357-359,442,共4页Chinese Journal of Microsurgery

摘　　要：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.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.

关 键 词：头颈部 游离皮瓣 移植 显微外科手术 

分 类 号：R686[医药卫生—骨科学]