前臂游离皮瓣修复口腔颌面部大面积缺损的远期疗效观察  

Experience of repairing oral and Maxillofacial defects by forearm free flap and its long-term result

作　　者：张从纪[1] 李慧增[1] 孙远[1] 杨军[1] 史文进[1] 

机构地区：[1]第三军医大学西南医院口腔科,重庆400038

出　　处：《临床口腔医学杂志》2003年第11期680-682,共3页Journal of Clinical Stomatology

摘　　要：目的 :总结用前臂游离皮瓣修复口腔颌面部软组织缺损的经验及远期疗效观察。方法 :对 13 1例前臂区游离皮瓣修复口腔颌面部软组织缺损病例进行分析 ,并对 3 7例进行了 0 .5～ 18年随访。结果 :本组 13 1例成功率 99.2 4% ,共吻合动、静脉分别为 13 1条和 2 5 3条。远期随访观察供区、受区组织恢复良好 ,部分皮瓣恢复感觉。结论 :前臂游离皮瓣是一种多功能的优良皮瓣 ,适合修复口腔颌面部各个区域的软组织缺损 ,远期疗效好。Objective:Summarizing experience of repairing oral and maxillofacial defects by forearm free flap and its long-term result. Method:The clinical records of 131 cases of forearm free flap for the oral and maxillofacial reconstruction were summed up and analyzed. Among these, the long-term result of 37 cases, which followed up for 0.5 to 18 years, was evaluated.Result:The forearm free flap had many advantages which accord with the demands of oral and maxillofacial reconstruction. In this group, the overall success rate was 99.24%, 131 arteries and 253 veins were anastomosised. The!long-term result of supply-region and receive-region was satisfaction. The sensation recovery also presented in some cases. Conclusion:The forearm free flap is a multifunction flap with good texture which is suited to repairing soft tissue defects in each oral and maxcillofacial region, and with well long-term result.

关 键 词：皮瓣 前臂区皮瓣 口腔颌面部 组织缺损 

分 类 号：R782.4[医药卫生—口腔医学]