临床口腔医学杂志2017，Vol.33Issue(1)：46-48,3.DOI:10.3969/j.issn.1003-1634.2017.01.016
微血管吻合器在游离皮瓣修复颌面部缺损中的应用
The application of microvascular anastomotic device for free skin flap transfer in patients with oral and maxil-lofacial defects
摘要
Abstract
Objective:To study the application effects of microvascular anastomotic device for free skin flap transfer in patients with oral and maxillofacial defects�Methods:Thirty⁃two cases needing free skin flaps were randomly selected in o⁃ral and maxillofacial defects patients�Their veins were anastomosed by microvascular anastomotic device�After free flap trans⁃plantation,veins were anastomosised by microvascular anastomosis end to end,artery was anastomosised by handwork tech⁃nique end to end�Other 32 cases whose veins were anastomosed by manual anastomosis were selected as control during the same year�The statistical data of the time of veins anastomosis, thrombosis and the rate of flaps salvage were compared�Results:The average time of venous anastomosis was(6�32 ± 0�86)min,which was lower than manual anastomosis (19�21 ± 4�52)min significantly�There was no thrombosis,which was not significant different with the manual anastomosis (6�25%)�One case venous blood flow was not smooth for the angled vein and the flap salvage operation was successful�The venous connector of all the free skin flap after microvascular anastomosis operation had not been anastomotic leakage,fall off, tearing,thrombosis,and so on�Conclusion:Microvascular anastomotic device in vein anastomosis operation for free skin flap transfer in patients with oral and maxillofacial defects is simple,fast,consistent with reliable quality and high clinical applica⁃tion value.关键词
微血管吻合器/口腔颌面部/游离皮瓣/血栓/静脉吻合Key words
Microvascular anastomotic device/Oromaxillo-facial region/Free skin flap/Thrombus/Vein anastomosis分类
医药卫生引用本文复制引用
余志刚,马壮,黄江..微血管吻合器在游离皮瓣修复颌面部缺损中的应用[J].临床口腔医学杂志,2017,33(1):46-48,3.基金项目
株洲市科技局科研项目 （）
