168例双静脉吻合游离皮瓣移植修复头颈部缺损
[168 cases of free flap transplantation with double vein anastomoses for reconstruction of head and neck defects].
作者信息
Mao Chi, Yu Guang-Yan, Peng Xin, Zhang Lei, Guo Chuan-Bin, Huang Min-Xian
机构信息
Dept. of Oral and Maxillofacial Surgery, Peking University School of Stomatology, Beijing 100081, China.
出版信息
Hua Xi Kou Qiang Yi Xue Za Zhi. 2006 Dec;24(6):530-2.
OBJECTIVE
To evaluate the reliability and effectiveness of free flap transfer with double vein anastomosis for reconstruction of head and neck defects.
METHODS
One hundred and sixty-eight cases of free flap transfers with double vein anastomosis for head and neck reconstruction from September 1999 to April 2003 were reviewed. There were 92 males and 76 females. The age range was 11 to 79 years old, with the average of 44.6 years old. Data concerning the operation included site, stage and histology of tumor, defect description, design of free flap, recipient vessel free flap survival and complications.
RESULTS
Among 168 free flaps, there were 126 free fibula flaps, 32 radial forearm flaps, 7 rectus abdominis flaps, one scapular flap, one jejunal flap, and one anterolateral thigh flap. The overall success rate of free flap was 99.4%. One fibula flap was lost because of arterial thrombosis. No venous thrombosis occurred in this group.
CONCLUSION
Free flap transfer with double vein anantomosis for head and neck reconstruction improves the outflow of free flap, reduces the venous thrombosis rate, and ensures a high success rate of free flaps.
目的
评估双静脉吻合游离皮瓣移植修复头颈部缺损的可靠性和有效性。
方法
回顾性分析1999年9月至2003年4月期间168例采用双静脉吻合游离皮瓣移植修复头颈部缺损的病例。其中男性92例，女性76例。年龄范围为11至79岁，平均年龄44.6岁。手术相关数据包括肿瘤的部位、分期和组织学类型、缺损描述、游离皮瓣设计、受区血管、游离皮瓣存活情况及并发症。
结果
168例游离皮瓣中，游离腓骨皮瓣126例，桡侧前臂皮瓣32例，腹直肌皮瓣7例，肩胛皮瓣1例，空肠皮瓣例，股前外侧皮瓣1例。游离皮瓣总体成功率为99.4%。1例腓骨皮瓣因动脉血栓形成而失败。该组未发生静脉血栓形成。
结论
双静脉吻合游离皮瓣移植修复头颈部缺损可改善游离皮瓣的静脉回流，降低静脉血栓形成率，确保游离皮瓣的高成功率。
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