游离皮瓣修复头颈部缺损：20年经验
Reconstruction of defects in the head and neck with free flaps: 20 years experience.
作者信息
Eckardt A, Meyer A, Laas U, Hausamen J-E
机构信息
Department of Oral and Maxillofacial Surgery, Hannover Medical School, OE7720, Carl-Neuberg-Strasse 1, 30625 Hannover, Germany.
出版信息
Br J Oral Maxillofac Surg. 2007 Jan;45(1):11-5. doi: 10.1016/j.bjoms.2005.12.012. Epub 2006 Feb 7.
Between March 1982 and December 2002 we did a total of 534 reconstructions with free flaps from various donor sites for 529 patients. The jejunum was the donor site in 181 reconstructions (34%), followed by the radial forearm flap in 173 reconstructions (32%); 86% of the reconstructions were immediately after excisions. Surgical re-exploration was necessary in 37 patients (7%); the failure rate from necrosis of the flap was 5%. Factors associated with complications were American Society of Anesthesiology (ASA) class and age.
1982年3月至2002年12月期间，我们共对529例患者进行了534次使用不同供区游离皮瓣的重建手术。空肠作为供区的重建手术有181例（34%），其次是桡侧前臂皮瓣，共173例（32%）；86%的重建手术在切除术后立即进行。37例患者（7%）需要进行再次手术探查；皮瓣坏死导致的失败率为5%。与并发症相关的因素是美国麻醉医师协会（ASA）分级和年龄。
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