血管吻合器在游离组织瓣修复颌面缺损中的应用  

The Application of Vascular Anastomotic Device for Free Tissue Flap Transfer in Patients with Oral and Maxillofacial Defects

作　　者：胡广伟[1] 王鸿[1] 王涛[1] 邓伟[1] 邱勋定[1] 甘成文[1] HU Guang-wei, WANG Hong, WANG Tao, DENG Wei, QIU Xun-ding, GAN Cheng-wen(Department of Stomatology, Hainan Provincial People＇s Hospital,Haikou 570311,Hainan,China)

机构地区：[1]海南省人民医院口腔科,海南海口570311

出　　处：《中国美容医学》2018年第6期119-122,共4页Chinese Journal of Aesthetic Medicine

基　　金：海南自然科学基金面上项目(20168281);海南省卫生计生行业科研项目(15A200033)

摘　　要：目的:探讨血管吻合器在游离组织瓣移植修复口腔颌面部缺损中的应用效果。方法:34例游离组织瓣修复口腔颌面缺损患者,静脉采用血管吻合器行端端吻合,动脉采用手工端端吻合,另选取30例同期手工吻合血管作为对照组,比较两组病例的静脉吻合手术时间、术后并发症及皮瓣成活率。结果:应用血管吻合器行单根静脉吻合平均用时(5.8±1.8)min,明显低于手工吻合平均用时(13.2±2.2)min;两组均无血栓形成,对照组静脉危象发生率为6.67%,与研究组相比无显著性差异。结论:血管吻合器在游离组织瓣修复颌面部缺损中应用,静脉吻合操作简单、快捷,吻合质量可靠,有较高的临床应用价值。Objective To study the application effects of vascular anastomotic device for free tissue flap transfer in patients with oral and maxillofacial defects. Methods 34 patients with oral and maxillofacial defects which needing free tissue flaps were selected. Their veins were anastomosed by vascular anastomotic device, arteries were anastomosed by handwork technique end to end. Other 30 cases whose veins were anastomosed by handwork technique were selected as control.The statistical data of the time of veins anastomosis,complications and the rate of flaps salvage were compared. Results The average time of venous anastomosis was（5.8±1.8） min,which was lower than manual anastomosis（13.2±2.2） min significantly. 34 flaps in the experimental group were all survived without occurring vascular crisis, while 2 flaps in the control group had venous crisis（6.67%）. There was no significant different statistically. Conclusion Vascular anastomotic device in vein anastomosis operation for free tissue flap transfer in patients with oral and maxillofacial defects is simple, fast, consistent with reliable quality and high clinical application value.

关 键 词：血管吻合器 颌面部 游离组织瓣 静脉吻合 血管危象 

分 类 号：R782.2[医药卫生—口腔医学]