应用游离组织瓣行上颌骨缺损修复的临床研究  

A preliminary study of maxillary reconstruction using free flaps:a review of 20 consecutive cases

作　　者：毛驰[1] 俞光岩[1] 彭歆[1] 郭传瑸[1] 黄敏娴[1] 张益[1] 

机构地区：[1]北京大学口腔医学院口腔颌面外科,100081

出　　处：《现代口腔医学杂志》2001年第5期352-354,共3页Journal of Modern Stomatology

摘　　要：目的　探讨应用游离组织瓣行上颌骨缺损修复的可行性。方法　对 1999年 7月 2 7日至 2 0 0 0年 8月 2日期间完成的连续 2 0例应用游离组织瓣行上颌骨缺损修复的病例作回顾性研究 ,分析上颌骨缺损的范围、所采用组织瓣的类型、受区血管、皮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上颌骨缺损修复的适应证和可行性。结果　 2 0例患者中男性 11例 ,女性 9例 ,所采用的游离组织瓣包括腹直肌瓣 (12例 )、腓骨瓣(5例 )、前臂皮瓣 (3例 )。全部游离组织瓣均获得成活 ,成功率为 10 0 %。受区和供区总的并发症发生率为 30 % ,除了早期的 3例供区并发症外 ,其余的并发症均不严重 ,吸烟、饮酒、放疗和年龄 (高龄和儿童 )等均非影响手术成功的重要因素。结论　应用游离组织瓣行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 ,但是目前应严格掌握适应证 。Objective To analyse the rationale and feasibility of maxillary reconstruction using free flaps.Methods Twenty consecutive cases of maxillary reconstruction using free tissue transfers were reviewed.Data concerning the operation included date of surgery,defect description and site,stage and histology of tumor,flap type,recipient vessel and complication.Results Three types of free flaps were used for maxillary reconstruction.The rectus abdominis flap was most commonly used,followed by free fibula flap and free radial forearm flap.All the flaps survived with the overall success rate of 100%.The overall complication rate was 30 percent.Apart from two hernia in our earlier cases,all the complications were minimal and neglectable.Conclusion Maxillary reconstruction using free tissue transfer is safe and reliable.

关 键 词：上颌骨重建 游离组织瓣 显微外科手术 上颌骨缺损 修复术 

分 类 号：R782.23[医药卫生—口腔医学]