异体面部移植的现状分析  

Analysis of the status of facial allotransplantation

作　　者：荣向科 易成刚 Rong Xiangke;Yi Chenggang(Department of Plast Reconstr Surg,Xijing Hospital,Air Force Medical University,Xi’an 710032,China)

机构地区：[1]空军军医大学附属西京医院整形外科,西安710032

出　　处：《中华整形外科杂志》2020年第3期327-336,共10页Chinese Journal of Plastic Surgery

基　　金：西京医院学科助推计划(XJZT18Z)。

摘　　要：各种严重外伤、肿瘤以及先天畸形常常可导致患者面容毁损,而异体面部移植可以在一次手术中矫正所有严重畸形,并且能达到兼顾功能和美观的效果。截至2018年,全世界实施的部分或全面部移植手术达到44例,此项手术属于非挽救生命的手术,存在很多问题和争议。作者结合以往经验,对手术适应证选择、手术原则和细节、术后并发症的防治、免疫抑制方案、术后功能恢复、伦理学问题、社会经济学问题等方面进行分析讨论。Many severe trauma,tumor and congenital malformation often lead to facial disfigurement.Facial allotransplantation can repair severe deformities in one operation and achieve both functional and aesthetic recovery.By 2018,44 partial or full facial allotransplantations have been performed worldwide.While,facial allotransplantation was a non-life saving operation,and there were much discusion and controversial.Based on the previous experience,the selection of surgical indications,surgical principles and details,prevention and management of postoperative complications,immunosuppression programs,postoperative functional recovery,ethical issues,social-economic issues were analyzed and discussed.

关 键 词：面部移植 同种异体复合组织移植物 修复外科手术 

分 类 号：R6[医药卫生—外科学]