皮瓣二期重建策略应用于气管非环周缺损修复重建  

Two-stage reconstructive strategy using a flap for non-circumferential tracheal defects

作　　者：邓迪[1] 刘均[1] 李林珂 王吉 刘吉峰[1] 吕丹[1] 王海洋[1] 甘卫刚 王君 李波[1] 陈飞[1] DENG Di;LIU Jun;LI Linke;WANG Ji;LIU Jifeng;LV Dan;WANG Haiyang;GAN Weigang;WANG Jun;LI Bo;CHEN Fei(Department of Otorhinolaryngology&Head and Neck Surgery,West China Hospital,Sichuan University,Sichuan 610041,Chengdu,China)

机构地区：[1]四川大学华西医院耳鼻咽喉头颈外科,四川成都610041

出　　处：《山东大学耳鼻喉眼学报》2020年第3期52-57,共6页Journal of Otolaryngology and Ophthalmology of Shandong University

基　　金：四川省科技厅重点研发(社会发展)项目(2018SZ0133)。

摘　　要：目的探讨皮瓣二期重建策略在气管非环周缺损修复重建的临床应用价值。方法回顾性分析2013年3月~2018年12月期间采用皮瓣二期重建气管非环周缺损的患者临床资料。结果37例完成I期重建,气管壁缺损长度为6~14个气管环,环周比为1/2~3/4,其中采用游离皮瓣22例,带蒂皮瓣15例,大小为6 cm×4 cm^12 cm×9 cm。33例患者顺利完成II期手术,术后呼吸、吞咽及发音功能恢复较为满意。结论对气管非环周缺损采取皮瓣二期重建策略有利于患者呼吸管理,治疗方案安全、有效。Objective This study aimed to investigate the clinical value of two-stage reconstructive strategy using a flap for the treatment of non-circumferential tracheal defects.Methods Patients who underwent tracheal reconstructions with a two-stage reconstructive strategy using a flap between March 2013 and December 2018 were retrospectively evaluated.Results Thirty-seven patients,with a tracheal defect length of 6-14 tracheal rings and circumferential ratio of 1/2 to 3/4,underwent stage I surgery.Twenty-two free flaps and 15 pedicled flaps were used in the stage I surgery,and the sizes of the flap ranged from 6×4 cm to 12×9 cm.Thirty-three patients underwent stage II surgery,and the postoperative respiratory,deglutition,and articulation functions recovered satisfactorily.Conclusion The two-stage reconstructive strategy using a flap is safe and effective for the treatment of non-circumferential tracheal defects.

关 键 词：气管缺损 二期重建 甲状腺癌 外科皮瓣 

分 类 号：R739.63[医药卫生—肿瘤]