游离皮瓣移植术血管危象152例防治分析  

Analysis and prevention of vascular crisis of free flap transplantation in 152 cases

作　　者：陈晋伟[1] 杜张荣[1] 田少斌[1] 

机构地区：[1]晋城煤业集团总医院,山西晋城048006

出　　处：《基层医学论坛》2014年第17期2178-2180,共3页The Medical Forum

摘　　要：目的探讨围术期针对性处理在游离皮瓣移植术血管危象防治中的作用。方法回顾性分析2003年1月—2012年12月期间,我院收治152例游离皮瓣移植术患者的手术治疗情况,比较2008年后给予针对性围术期处理对发生血管危象的影响。结果 2008年前共做游离皮瓣移植114例,术后血管危象发生率为14.03%,成活率为98.24%;2008年后共做游离皮瓣移植38例,术后血管危象发生率为5.26%,成活率100%。结论提高游离皮瓣移植的成活率,严格把握术前、术中、术后三个环节的处理是降低血管危象发生的重要因素。Objective To explore the preoperative treatment in the role of vascular crisis prevention and control of free flap transplantation. Methods Reviewed 152 cases of patients with free flap transplantation in our hospital in January 2003 - December 2012, and puts forward the necessity of prevention and treatment of vascular crisis in the preoperative, intraoperative and postoperative each link, Compared to preoperative treatment effects on the occurrence of vascular crisis after2008.Results The incidence of postoperative vascular crisis was 14.03%and the survival rate was 98.24%in the 114cases of free flap transplantation before 2008,respectively 5.26%,100%in the 38 cases after 2008. Conclusion The important factors of reduce vascular crisis occur are improving the free flap transplantation survival rate and processing strictly grasping three links the preoperative, intraoperative and postoperative treatments.

关 键 词：软组织缺损 皮瓣移植 血管危象 防治 

分 类 号：R473.6[医药卫生—护理学]