Shestak K C, Jones N F
Division of Plastic Surgery, University of Pittsburgh, Pa.
Plast Reconstr Surg. 1991 Aug;88(2):259-63. doi: 10.1097/00006534-199108000-00014.
During the 5-year period from July of 1984 to July of 1989, we performed 94 free-tissue transfers in 92 patients over the age of 50 whom we arbitrarily defined as "elderly." There were 32 patients in the age range between 50 and 59 years, 40 patients aged between 60 and 69 years, and 20 patients aged between 70 and 79 years. Seventy-one flaps were utilized for head and neck reconstruction, and 23 flaps were used in reconstruction of the trunk and extremities. There was 1 total flap loss, for a flap viability rate of 99 percent (93 of 94). Postoperative complications were classified into surgical (technical) and medical categories. There were 14 major surgical complications (15 percent) and 13 significant postoperative medical problems (14 percent). The majority of these complications occurred in head and neck cancer patients in the age group between 60 and 69 years, who had significant underlying medical problems and were preoperatively classified as ASA 3. There were 5 postoperative deaths, for a mortality rate of 5.4 percent (5 of 92 patients).
在1984年7月至1989年7月的5年期间，我们对92名年龄超过50岁（我们随意定义为“老年”）的患者进行了94次游离组织移植。年龄在50至59岁之间的有32名患者，60至69岁之间的有40名患者，70至79岁之间的有20名患者。71块皮瓣用于头颈部重建，23块皮瓣用于躯干和四肢重建。共有1块皮瓣完全坏死，皮瓣成活率为99%（94块中的93块）。术后并发症分为手术（技术）和医疗两类。有14例严重手术并发症（15%）和13例严重术后医疗问题（14%）。这些并发症大多发生在年龄在60至69岁之间的头颈部癌症患者中，他们有严重的基础疾病，术前被归类为美国麻醉医师协会3级。术后有5例死亡，死亡率为5.4%（92例患者中的5例）。
