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第 24 卷第 11 期第三军医大学学报 Vol. 24 , No. 11
4631 2002 年 11 月 ACTA ACADEMIAE MEDICINAE MILITARIS TERTIAE Nov. 2002
论著文章编号:1000 5404(2002) 11 1364 03
前臂游离皮瓣修复口腔颌面部大面积缺损及其疗效观察
张从纪,李慧增,孙远,杨军,史文进(第三军医大学附属西南医院口腔科,重庆 400038)
提要: 目的总结用前臂区游离皮瓣修复口腔颌面部软组织缺损的经验及远期疗效观察。方法对我科 131 例前臂区游离
皮瓣修复口腔颌面部软组织缺损病例进行临床分析,并对其中 37 例病人进行了 0. 5~18 年的随访观察。结果前臂区游离皮瓣具
有许多符合口腔颌面部修复要求的优点。本组 131 例成功率 99. 24 % ,共吻合动、静脉分别为 131 条和 253 条。随访观察供、受区恢
复良好,部分患者皮瓣感觉有所恢复。结论前臂区游离皮瓣是一种多功能的优良皮瓣,适合修复口腔颌面部各个区域的软组织
缺损,其疗效较好。
关键词: 皮瓣;前臂区皮瓣;口腔颌面部;组织缺损
中图法分类号: R782 文献标识码: A
Experience in the repair of oral and maxillofacial defects by forearm free flap and its
long term2 effect2 2 2
ZHANG Cong ji , LI Hui zeng , SUN Yuan , YANGJun , SHI Wen jin (Department of Stomatology , Southwest Hospital , Third Military Medical University ,
Chongqing 400038 , China)
Abstract : Objective To summarize the experience in the repair of oral and maxillofacial defects by forearm free flap and its longterm effect.
Methods The clinical records of 131 cases of forearm free flap for the oral and maxillofacial reconstruction were summed up and analyzed. A follow
up observation for 0. 5 to 18 years was evaluated. Results There were many advantages of using forearm free flap in oral and maxillofacial recon
struction. In this group , the overall ess rate was 99. 24 % with anastomosed ar