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游离空肠微血管移植

Microvascular free jejunum transfer.

作者信息

Robinson D W, MacLeod A

出版信息

Br J Plast Surg. 1982 Jul;35(3):258-67. doi: 10.1016/s0007-1226(82)90111-4.

DOI:10.1016/s0007-1226(82)90111-4
PMID:7150848
Abstract

A series of 37 microvascular free jejunal transfers for reconstruction of the pharyngolaryngeal region using a conduit or oropharynx using a patch of jejunum is reported. The technique results in a high success rate with only two failures in the series. Post-operative recovery is rapid with low morbidity and many patients are able to go home after seven to ten days. Radiotherapy, either pre-operatively affecting the recipient vessels or post-operatively affecting the transferred jejunal segment, has not been found to affect adversely the outcome of the reconstructive procedure.

摘要

报道了一系列37例使用带血管游离空肠移植的手术,其中一些是利用一段空肠作为管道重建咽喉区域,另一些是利用空肠补片重建口咽。该技术成功率很高,本系列中仅有两例失败。术后恢复迅速,发病率低,许多患者在7至10天后即可出院。尚未发现术前放疗影响受区血管或术后放疗影响移植空肠段会对重建手术的结果产生不利影响。

相似文献

1
Microvascular free jejunum transfer.游离空肠微血管移植
Br J Plast Surg. 1982 Jul;35(3):258-67. doi: 10.1016/s0007-1226(82)90111-4.
2
Pharyngoesophageal stricture and fistula. Treatment by free jejunal graft.咽食管狭窄与瘘管。游离空肠移植治疗。
Ann Surg. 1984 Jun;199(6):762-9. doi: 10.1097/00000658-198406000-00015.
3
Monitoring of revascularized jejunal autografts.
Arch Otolaryngol Head Neck Surg. 1992 Oct;118(10):1042-4. doi: 10.1001/archotol.1992.01880100032009.
4
Monitoring buried jejunum free flaps with a sentinel: a retrospective study of 20 cases.用示踪剂监测埋藏空肠游离皮瓣:20 例回顾性研究。
Laryngoscope. 2012 Mar;122(3):519-22. doi: 10.1002/lary.22382. Epub 2012 Jan 17.
5
Split, free, jejunal transfer for pharyngoesophageal and soft-tissue reconstruction.
J Reconstr Microsurg. 1995 Jul;11(4):251-3. doi: 10.1055/s-2007-1006540.
6
A reliable method for monitoring the microvascular patency of free jejunal transfers in reconstructing the pharynx and cervical esophagus.
Plast Reconstr Surg. 1989 May;83(5):896-8. doi: 10.1097/00006534-198905000-00024.
7
Free jejunal mucosal patch graft reconstruction of the oropharynx.游离空肠黏膜补片移植重建口咽
Arch Surg. 1982 Apr;117(4):459-62. doi: 10.1001/archsurg.1982.01380280043009.
8
Free jejunal transfer for pharyngo-esophageal reconstruction.
Acta Chir Plast. 2002;44(4):120-3.
9
[Reconstruction of the cervical part of the esophagus using a free revascularized segment of the jejunum and microsurgical technic].
Khirurgiia (Mosk). 1990 Mar(3):6-9.
10
Variation of microvascular blood flow augmentation--supercharge in esophageal and pharyngeal reconstruction.微血管血流增加的变化——食管和咽部重建中的增压
Rozhl Chir. 2006 Jan;85(1):9-13.

引用本文的文献

1
History of Microsurgery: The Legacy of Harry J. Buncke, MD.显微外科手术史:医学博士哈里·J·邦克的遗产
Semin Plast Surg. 2022 Dec 19;36(4):211-220. doi: 10.1055/s-0042-1758130. eCollection 2022 Nov.
2
Anastomosis of Free Flap Pedicle to Great Vessels.游离皮瓣蒂与大血管的吻合术。
World J Plast Surg. 2018 Sep;7(3):351-356. doi: 10.29252/wjps.7.3.351.
3
Detection of postoperative intestinal ischemia in small bowel transplants.小肠移植术后肠道缺血的检测
J Transplant. 2012;2012:970630. doi: 10.1155/2012/970630. Epub 2012 Nov 4.
4
Replacement of the pharynx after pharyngolaryngectomy.喉咽切除术后咽的重建。
Ann R Coll Surg Engl. 1985 Mar;67(2):136.
5
Evaluation of blood flow by color Doppler sonography in free jejunal interposition grafts for cervical esophageal reconstruction.
World J Surg. 2005 Mar;29(3):382-7. doi: 10.1007/s00268-004-7426-0.
6
[Removal of the small intestine in autologous jejunum transplantation for reconstruction of the mouth cavity is a secondary intervention with few complications].自体空肠移植小肠切除用于口腔重建是一种并发症较少的二次干预措施。
Langenbecks Arch Chir. 1997;382(1):55-8. doi: 10.1007/BF02539310.
7
Replacement of the pharynx after pharyngolaryngectomy.喉咽切除术后咽的重建。
Ann R Coll Surg Engl. 1985 May;67(3):210-1.
8
Radiographic evaluation of the free jejunal graft.游离空肠移植的影像学评估。
Gastrointest Radiol. 1987;12(3):226-30. doi: 10.1007/BF01885148.
9
Coloplasty and free intestinal transplants in the treatment of extensive cancers of the pharyngo-oesophageal junction.结肠成形术和游离肠移植治疗咽食管交界部广泛性癌症
Arch Otorhinolaryngol. 1989;246(5):384-7. doi: 10.1007/BF00463601.
10
Progress in free tissue transfer.游离组织移植的进展。
World J Surg. 1990 Nov-Dec;14(6):786-95. doi: 10.1007/BF01670525.