游离皮瓣移植修复口腔颌面部缺损的临床效果观察  

Clinical Effect Observation of Dissociated Flap Transplantation Repair of Oral and Maxillofacial Region

作　　者：常虹[1] 

机构地区：[1]黑龙江省医院南岗院区整形颌面外科,黑龙江哈尔滨150000

出　　处：《中国美容医学》2017年第5期101-103,共3页Chinese Journal of Aesthetic Medicine

摘　　要：目的:总结游离皮瓣移植修复口腔颌面部缺损的临床效果,改善口腔颌面部缺损患者的生活质量。方法:选择2011年6月-2014年6月笔者科室收治的50例口腔颌面部缺损患者,均采取游离皮瓣移植修复治疗,并观察患者术后皮瓣的成活率及并发症情况。结果:游离皮瓣移植修复治疗后,50例患者中49例患者治疗成功,成功率为98%,1例患者治疗失败(占2.0%)。从并发症情况来看,患者术后出现了3例早期局部并发症(占6.0%),发生术后皮瓣危象3例(占6.0%),术后皮瓣危象患者中出现了2例静脉血栓情况,其中1例手术探查抢救成功。前臂桡侧皮瓣成活率97.5%,股前外侧游离皮瓣成活率80.0%,腓骨肌皮瓣成活率100.0%,背阔肌皮瓣成活率100.0%。随访2年,多数患者外形、功能均满意。结论:游离皮瓣移植修复口腔颌面部缺损的临床效果显著,可以作为口腔颌面部缺损患者治疗的首选方案。Objective To summarize clinical effect of dissociated flap transplantation repair of oral and maxillofacial region, and to improve the quality of life of patients with oral and maxillofacial injury. Methods 100 patients with oral and maxillofacial injury in the hospital from June,2013 to June, 2014 were regarded as the research objects, including 10 forearm radial flap patients, 10 free anterolateral thigh flap patients,5 fibular musculocutaneous flap patients and 5 latissimus dorsi flap patients. They were all treated with dissociated flap transplantation repair. And the survival rate and complication situation of 100 patients were observed. Results After dissociated flap transplantation repair, 98 patients were cured among 100 patients, and the successful rate was 98%. 2 patients were fail, and the rate was 2%. 6 cases had local complication, accounting for 6%; flap crisis occurs in 5 cases, accounting for 5%; among flap crisis cases, phlebothrombosis occurs in 3 cases, accounting for 60%;Ploration rescue success occurs in 3 cases, accounting for 60%. The survival rates of radical forearm flap, free anteroateral thigh flap, fibular musculocutaneous flap, latissimus dorsi were 98.75%, 90%, 100% and 100%. After two years followed up, most patients were satisfied with outline and function. Conclusion Free flap tansplantation repair of oral and maxillofacial defect has significant clinical effect, and it can be used as the first choice for patients with oral and maxillofacial defect.

关 键 词：口腔颌面部缺损 游离皮瓣 移植修复 静脉血栓 并发症 

分 类 号：R782.2[医药卫生—口腔医学]