头颈部肿瘤患者皮瓣移植修复术后皮瓣坏死的影响因素分析  

作　　者：吴清晨 胡海琴[1] 叶秀珍 

机构地区：[1]浙江省肿瘤医院,310022

出　　处：《浙江临床医学》2024年第9期1350-1351,1354,共3页Zhejiang Clinical Medical Journal

基　　金：浙江省医药卫生科技计划项目(2022KY633)。

摘　　要：目的分析头颈部肿瘤患者皮瓣移植修复术后皮瓣坏死的影响因素。方法回顾性分析2018年1月至2021年12月浙江省肿瘤医院收治的244例皮瓣移植修复术患者的一般资料及皮瓣坏死情况。结果34例患者发生皮瓣坏死,210例患者未发生皮瓣坏死。Logistic回归分析显示,性别、受区部位手术史、术后皮瓣肿胀及皮瓣类型是皮瓣移植修复术后皮瓣坏死的独立影响因素(P<0.05)。结论头颈部肿瘤患者行皮瓣移植修复术时临床中应重点关注性别、受区部位手术史、术后皮瓣肿胀、皮瓣类型等因素,可采取相应的防治策略,以降低皮瓣坏死的发生率。Objective To analyse the influencing factors of flap necrosis after flap graft repair in patients with head and neck tumours.Methods The general data and flap necrosis of 244 patients admitted to Zhejiang Provincial Cancer Hospital from January 2018 to December 2021 for flap graft repair were retrospectively analysed.Results Flap necrosis occurred in 34 patients,and 210 patients did not experience flap necrosis.Logistic regression analysis showed that gender,history of surgery in the recipient area,postoperative flap swelling,and flap type were the independent influencing factors of flap necrosis after flap graft repair(P<0.05).Conclusion When patients with head and neck tumours undergo flap graft repair,clinical attention should be focused on factors such as gender,history of recipient site surgery,postoperative flap swelling and flap type,and corresponding prevention and treatment strategies can be adopted to reduce the incidence of flap necrosis.

关 键 词：头颈部肿瘤 皮瓣坏死 影响因素 

分 类 号：R739.91[医药卫生—肿瘤]