论文部分内容阅读
本文报告应用游离皮瓣立即整复口腔钥面部组织缺损69例,其中有58例系恶性肿瘤联合根治术,为游离皮瓣移植整复缺损,提供了良好的受区动、静脉。应用的游离瓣有肩胛皮瓣37例,前臂皮瓣23例,背阔肌皮瓣6例,骨肌皮瓣3例。整复缺损以颊、舌区最多。作者对各种游离皮瓣的优缺点及选用要点,对薄皮瓣、厚皮瓣及带骨肌皮瓣的适应证,进行了分析和讨论。在吻合血管方法上对缝合法与用73-2型血管吻合器作了比较,强调血管吻合器的优越性。最后还对游离皮瓣移植手术前、中、后应注意事项,总结了几点经验教训。
This paper reports the application of free flap immediate repair of key facial tissue defects in 69 cases, of which 58 cases of malignant tumor combined with radical mastectomy for the free flap transplantation for the restoration of defects, provides a good by the area of the artery and vein. 37 cases of free flap with scapular flap, 23 cases of forearm flap, 6 cases of latissimus dorsi flap and 3 cases of osteomyelid flap. The entire defect to cheek, tongue area up. The author of the advantages and disadvantages of various free flaps and the selection of points, the flap, flap and bone flap with indications were analyzed and discussed. In the method of anastomosis on the suture method and the use of 73-2 type vascular stapler was compared, emphasizing the superiority of vascular stapler. Finally, the free flap transplantation before, during and after should pay attention to the issues, summed up a few lessons learned.