游离皮瓣手术后的并发症：我们是否需要对手术并发症进行标准化分类？
Complications after free flap surgery: do we need a standardized classification of surgical complications?
作者信息
Perisanidis Christos, Herberger Beata, Papadogeorgakis Nikolaos, Seemann Rudolf, Eder-Czembirek Christina, Tamandl Dietmar, Heinze Georg, Kyzas Panayiotis A, Kanatas Anastasios, Mitchell David, Wolff Klaus-Dietrich, Ewers Rolf
机构信息
Department of Cranio-, Maxillofacial and Oral Surgery, Medical University of Vienna, Waehringer Guertel 18-20, 1090 Vienna, Austria.
出版信息
Br J Oral Maxillofac Surg. 2012 Mar;50(2):113-8. doi: 10.1016/j.bjoms.2011.01.013. Epub 2011 Feb 22.
Our main objective was to apply a standard classification to surgical complications after free flap surgery for reconstructions of the head and neck. We used the modified Clavien-Dindo classification in a cohort of 79 patients who were having reconstructions with jejunal free flaps simultaneously with resections of oral and oropharyngeal cancer. The most common minor complication was the need for a blood transfusion, and the most common major complication of a respiratory nature. The medical complications, and those at the recipient site and the donor site were 53/79 (67%), 44/79 (56%), and 9/79 (11%), respectively. The Clavien-Dindo classification is suitable and can easily be used to evaluate postoperative complications after free tissue transfer.
我们的主要目标是将标准分类应用于头颈部重建游离皮瓣手术后的手术并发症。我们在一组79例患者中使用了改良的Clavien-Dindo分类法，这些患者在切除口腔和口咽癌的同时接受空肠游离皮瓣重建。最常见的轻微并发症是需要输血，最常见的严重并发症是呼吸系统并发症。医疗并发症、受区并发症和供区并发症分别为53/79（67%）、44/79（56%）和9/79（11%）。Clavien-Dindo分类法适用，可轻松用于评估游离组织移植术后的并发症。
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