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目的:探索头颈部肿瘤切除术后穿支游离皮瓣吻合整复术区缺损的方法。方法:2002-2009年收治的头颈部肿瘤切除术后12例穿支游离皮瓣整复患者,其中3例用腹直肌皮瓣,5例使用股前外侧皮瓣,2例背阔肌皮瓣,2例胸大肌肌皮瓣作回顾分析。结果:其中1例背阔肌皮瓣坏死,1例股前外侧皮瓣部分坏死咽瘘。动脉及静脉血管危象各1例,回手术室探查挽救成功。皮瓣总成活率为91.6%。结论:穿支游离皮瓣制备容易,供区面积大,适合整复头颈部较大面积的组织缺损。
Objective: To explore the method of anastomosis of the entire perforation area after perforating the free flap after head and neck tumor resection. METHODS: Twenty-two patients undergoing total head and neck neoplasm resection from 2002 to 2009 were treated with free flap. Three cases were treated with flap of the rectus abdominis, 5 cases were treated with anterolateral thigh flap, 2 cases with latissimus dorsi Flap, 2 cases of pectoralis major myocutaneous flap for retrospective analysis. Results: 1 case of latissimus dorsi flap necrosis, 1 case of anterolateral flap partial pharyngeal fistula. Arterial and venous crisis in 1 case, back to the operating room exploration rescue success. The total flap survival rate was 91.6%. Conclusion: The perforating branch flap is easy to prepare and provides a large area for the reconstruction of a large area of tissue defects of the head and neck.