游离皮瓣移植术后血管危象危险因素的研究进展  

Research Progress in Risk Factors for Vascular Crisis after Free Flap Transplantation

作　　者：曾小英[1] 程丽云 张雪萍 黄妙明 彭爱萍[1] ZENG Xiaoying;CHENG Liyun;ZHANG Xueping;HUANG Miaoming;PENG Aiping(Department of Hand Surgery,Xiaolan People′s Hospital of Zhongshan,Zhongshan 528415,China)

机构地区：[1]中山市小榄人民医院手外科,广东中山528415

出　　处：《医学综述》2023年第13期2628-2632,共5页Medical Recapitulate

摘　　要：游离皮瓣移植术通过血管吻合技术将自身组织皮瓣游离移植至组织缺损处进行修复,因具有皮瓣成活率高、术后恢复快等优势广泛应用于有肌腱、关节、大血管等组织裸露的新鲜创面修复,器官再造,面颊部、上颚部等洞穿性缺损的修复等。近年来发现游离皮瓣移植术后血管危象是导致皮瓣坏死的主要因素,且在实际临床工作中发现血管危象时往往已错过最佳探查时机,以致无法重新吻合血管,严重影响游离皮瓣的存活。若能明确游离皮瓣移植术后血管危象发生的危险因素,并给予相应预防性措施,则有助于提高游离皮瓣移植术成功率,进一步提高患者生存质量。Free flap transplantation is a technique of free grafting of the autologous tissue flap to the tissue defect through vascular anastomosis for repair.Due to the advantages of high flap survival rate and quick postoperative recovery,it is widely used in the repair of fresh wounds with exposed tissues such as tendons,joints,and large blood vessels,as well as organ reconstruction,and repair of penetrating defects in the cheek and upper jaw,etc.In recent years,it has been found that vascular crisis after free flap transplantation is the main factor leading to flap necrosis,and in actual clinical work,when vascular crisis is discovered,the best time for exploration is often missed,so that the blood vessels cannot be reanastomated,which seriously affects the survival of the free flap.If the risk factors of vascular crisis after free skin flap transplantation can be identified,and corresponding preventive measures can be given,it will help to improve the success rate of free skin flap transplantation and further improve the quality of life of the patients.

关 键 词：游离皮瓣移植术 血管危象 预后 危险因素 

分 类 号：R739.8[医药卫生—肿瘤]