新型微循环观察尺在口腔颌面肿瘤切除修复重建术后组织瓣血运观察中的应用  

Application of a new microcirculation observation scale in observing the blood flow of tissue flaps after maxillofacial tumor resection and repair reconstruction

作　　者：张春谊 张倩 孙沫逸 李佳时 廖习坪 赵亮 杨扬 魏建华 ZHANG Chunyi;ZHANG Qian;SUN Moyi;LI Jiashi;LIAO Xiping;ZHAO Liang;YANG Yang;WEI Jianhua(State Key Laboratory of Military Stomatology&National Clinical Research Center of Oral Diseases&Shaanxi Clinical Research Center of Oral Diseases,Department of Maxillofacial Oncology,the Third Affiliated Hospital of Air Force Military Medical University,Shanxi Xi'an 710032,China)

机构地区：[1]军事口腔医学国家重点实验室,口腔疾病国家临床医学研究中心,陕西省口腔疾病临床医学研究中心,空军军医大学第三附属医院颌面肿瘤科,陕西西安710032

出　　处：《现代肿瘤医学》2023年第22期4157-4161,共5页Journal of Modern Oncology

基　　金：空军军医大学第三附属医院护理新技术新业务立项资助项目(编号:417429222d)。

摘　　要：目的:探究口腔颌面部肿瘤切除修复重建术后新型微循环观察尺的临床应用效果。方法:选取2019年06月至2021年05月我科实行口腔颌面部肿瘤切除修复重建术患者160例,采用随机数字表法分为试验组和对照组,每组80例。对照组及试验组均采用常规观察方法进行组织瓣血运观察;试验组在对照组基础上加用新型微循环观察尺进行组织瓣血运观察,对比两组患者修复重建术后血管危象观察-手术时间及抢救成功率。结果:试验组血管危象观察-手术时间少于对照组,差异具有统计学意义(P<0.05);试验组组织瓣抢救成功率为90.91%,高于对照组组织瓣抢救成功率50.00%,两组比较有统计学差异(P<0.05)。结论:新型微循环观察尺的临床应用有利于医护人员早期发现组织瓣血管危象,及时采取有效措施进行抢救,有效保障修复重建后组织瓣二次探查的成活,建议于临床推广使用。Objective:To explore the clinical application effect of a new microcirculation observation scale after maxillofacial tumor resection and repair reconstruction.Methods:From June 2019 to May 2021,160 patients who underwent maxillofacial tumor resection and repair reconstruction in our department were selected,were divided into experimental group and control group by random number table method and 80 cases in each group.The control group and the experimental group used conventional observation methods to observe tissue valve blood supply.In the experimental group,a new microcirculation observation scale was used to observe tissue valve blood supply,and the observation-operation time and rescue success rate of vascular crisis after repair and reconstruction were compared between the two groups.Results:Vascular crisis observation-the operation time in the experimental group was less than that of the control group,and the difference was statistically significant(P<0.05).The success rate of tissue valve rescue in the experimental group was 90.91%,which was higher than that of the control group by 50.00%,and there was a statistical difference between the two groups(P<0.05).Conclusion:The clinical application of the new microcirculation observation scale is conducive to the early detection of tissue valve vascular crisis by medical staff,timely and effective measures for rescue,and effectively ensure the survival of secondary exploration of tissue valve after repair and reconstruction,which can be popularized and used.

关 键 词：口腔颌面部肿瘤 修复重建 血运循环 血管危象 观察尺 组织瓣 

分 类 号：R739.8[医药卫生—肿瘤]