口腔颌面部血管化游离组织瓣血管危象的研究进展  

Research progress on vascular crisis of vascularized free flap in oral and maxillofacial regions

作　　者：周旺 吕伟华 彭利伟[2] Zhou Wang;Liui Weihua;Peng Liwei(Henan University School of Stomatology,Zhengzhou 450000,China;Department of Oral and Maxillofacial Surgery,Henan Provincial People's Hospital,Zhengzhou 450000,China)

机构地区：[1]河南大学口腔医学院,郑州450000 [2]河南省人民医院口腔颌面外科,郑州450000

出　　处：《中华口腔医学研究杂志（电子版）》2024年第3期206-210,共5页Chinese Journal of Stomatological Research(Electronic Edition)

基　　金：河南省医学科技攻关项目(201304040)。

摘　　要：血管危象是血管化游离组织瓣移植过程中可能遇到的棘手问题,处理不当会导致皮瓣移植失败等严重后果。术中血管危象的发生会明显延长手术时间,增加患者身体机能的消耗,并且加重术者的操作疲劳,降低手术效率。术后血管危象一般需要手术探查,对患者及术者都是重要负担,若未能及时发现或者处理不当,就可能引起皮瓣移植失败。因此,临床上血管危象的预防、及时发现和有效处理能够一定程度上减轻患者身心及经济负担。本文拟对血管化游离组织瓣血管危象的相关研究进展进行综述。Vascular crisis is a thorny problem which may be encountered during the process of vascularized free flap transplantation.Improper handling can lead to serious consequence,such as flap transplantation failure.The occurrence of intraoperative vascular crisis can significantly prolong surgical time,aggravate the patient's physical function consumption,exacerbate the operator's fatigue,and lower surgical efficiency.Dealing with postoperative vascular crisis usually requires surgical exploration,which is an important burden for both the patient and the surgeon.Once it is not detected in time or mishandled,it may lead to flap transplantation failure.Therefore,the prevention,timely detection,and effective management of vascular crisis i in clinical practice e can reduce the physical,mental,and economic burden on patients to some extent.This article aimed to review the research progress on vascular crisis in vascularized free tissue flaps.

关 键 词：游离皮瓣 血管危象 血管吻合 口腔颌面缺损 修复重建外科 显微外科 

分 类 号：R782[医药卫生—口腔医学]