带血供复合组织同种异体移植的手术前评估  

Pre-operation evaluations in vascularized composite tissue allotransplantation

作　　者：朱海男[1] 顾斌[1] 谢峰[1] 余庆雄 盛玲玲[1] 李青峰[1] ZHU Hainan;GU Bin;XIE Feng;YU Qingxiong;SHENG Lingling;LI Qingfeng(Department of Plastic and Reconstructive Surgery,Shanghai Ninth People's Hospital,Shanghai Jiao Tong University School of Medine,Shanghai 200011,China)

机构地区：[1]上海交通大学医学院附属第九人民医院整复外科,上海市2000011

出　　处：《组织工程与重建外科》2022年第3期265-267,共3页Journal of Tissue Engineering and Reconstructive Surgery

摘　　要：随着移植手术后免疫治疗方案的不断发展和人们理念的不断更新,以手移植和面部移植为代表的带血供的复合组织同种异体移植手术(Vascularized composite tissue allotransplantation,VCA)已在许多国家开展。移植成功率在不同地区之间存在较大差异,相关影响因素众多。其中,术前的全面评估非常重要,包括手术指征评估、心理学评估、认知能力评估、社会支持系统评估、第三方机构审核等。本文综述了上述评估内容及其重要性,并建议世界各VCA团队尽快建立术前评估标准,并立法规定第三方审核机制,从而提高手术的成功率。With the development of immuno suppressive therapy and the change of people opinion to allotransplantation,more and more vascularized composite tissue allotransplantations(VCA),represented by hand and face allotransplantation,have been carried out in many countries.The successful rate of transplantation varies greatly among different regions.There are many factors that affect the success of surgery.Among them,a comprehensive evaluation before operation is an important point.Preoperative evaluation mainly includes surgical indication evaluation,psychological evaluation,cognitive ability evaluation,social support system evaluation,third-party agency audit,etc.In this paper,the content and importance of the above assessment were reviewed.And it is suggested that VCA teams around the world establish preoperative assessment criteria as soon as possible,and legislate third-party review mechanism to improve the success rate of surgery.

关 键 词：带血供的复合组织 同种异体移植 围手术期风险因素 

分 类 号：R622[医药卫生—整形外科]