微血管吻合器在游离前臂皮瓣修复口腔颌面缺损中的应用  

The Clinical Value of Microvascular Anastomotic Devices in Repairing Oral and Maxillofacial Defects by Free Flap

作　　者：李胜锋[1] 刘振兴[1] 张世周[1] 李文刚[1] 黄圣运[1] 张东升[1] 

机构地区：[1]山东大学附属省立医院口腔颌面外科,山东济南250021

出　　处：《口腔颌面外科杂志》2015年第2期121-124,共4页Journal of Oral and Maxillofacial Surgery

摘　　要：目的 :探讨游离前臂皮瓣修复口腔颌面部缺损中微血管吻合器应用的可靠性。方法 :2013-04—2014-05期间,应用微血管吻合器对19名患者行口腔颌面缺损游离前臂皮瓣修复,共应用微血管吻合器22枚,观察其吻合时间、吻合血管通畅率、皮瓣成活率及吻合后并发症等情况。结果:19例患者中,应用微血管吻合器吻合静脉19条、动脉3条,吻合时间明显缩短,吻合后血管通畅率为100%,皮瓣成活率为100%,未出现与微血管吻合器相关的术中及术后并发症。结论:微血管吻合器在游离前臂皮瓣修复口腔颌面部缺损中有良好的血管吻合效果,具有较高的临床意义及应用价值,值得推广。Objective： To evaluate the clinical value of microvascular anastomotic devices in free antebrachial flap anasto- mosis in the reconstruction of oral and maxillofaeial defects. Methods： From April 2013 to May 2014, 22 pieces of mi- crovascular anastomotic adviees were applied in 19 patients with oral and maxillofaeial defects. The length of anastomosis time, patency rate, flap survival rate, and complications were observed and recorded. Result： In 19 patients, mierovascular anastomotic devices were applied in 19 veins and 3 arteries with shorter anastomosis time. The flap survival and vascular anastomosis pateney rate was 100%. No intra- and post-operative complications associated with mierovascular anastomotic devices were observed. Conclusion： This paper provides an evaluation of the applicable foreground on the effectiveness of microvaseular anastomotie devices.

关 键 词：前臂皮瓣 血管吻合 微血管吻合器 外科皮瓣 显微外科手术 

分 类 号：R782.2[医药卫生—口腔医学]