口腔颌面部缺损游离皮瓣修复中血管吻合的技巧及关键点

doi:10.7518/hxkq.2022.03.004

华西口腔医学杂志 ›› 2022, Vol. 40 ›› Issue (3): 271-278.doi: 10.7518/hxkq.2022.03.004

口腔颌面部缺损游离皮瓣修复中血管吻合的技巧及关键点

李春洁(), 韩波, 朱桂全()

口腔疾病研究国家重点实验室国家口腔疾病临床医学研究中心四川大学华西口腔医院头颈肿瘤外科，成都 610041

收稿日期:2021-07-28 修回日期:2022-03-19 出版日期:2022-06-01 发布日期:2022-06-01
通讯作者: 朱桂全 E-mail:lichunjie@scu.edu.cn;zhugq@scu.edu.cn
作者简介:李春洁，教授，博士，E-mail：lichunjie@scu.edu.cn|李春洁，教授，博士，E-mail：lichunjie@scu.edu.cn 专家简介· 李春洁，四川大学华西口腔医院头颈肿瘤外科教授，博士研究生导师，香江学者，四川省卫生健康委员会学术带头人后备人选，国际牙医师学院院士。四川大学华西口腔医院头颈肿瘤外科主任，兼任中华口腔医学会口腔颌面修复专业委员会常务委员、中华口腔医学会口腔颌面-头颈肿瘤外科专业委员会委员。主要研究方向为头颈肿瘤的临床诊治、口腔颌面部软硬组织缺损的修复与重建。主编研究生教材1 部，副主编、参编专著5 部，主持国家自然科学基金等各项国家级、省部级基金6 项。发表论文100 余篇，其中以第一作者或通讯作者发表SCI 论文50 余篇。获国家发明专利授权2项，实用新型专利授权5 项。|朱桂全，副主任医师，博士，E-mail：zhugq@scu.edu.cn ·专家简介· 朱桂全，四川大学华西口腔医院头颈肿瘤外科副主任医师，硕士研究生导师，四川省学术技术带头人后备人选。四川大学华西口腔医院头颈肿瘤外科副主任，中国卫生信息与健康医疗大数据协会口腔健康大数据联合体常务委员，四川省抗癌协会头颈肿瘤专业委员会委员、青年委员会副主任委员，四川省抗癌协会肿瘤精准医学专业委员会常务委员。四川省优秀博士论文获得者。《肿瘤预防与治疗》、《四川医学》编委。擅长口腔颌面部微创手术治疗及颌面复杂缺损的修复与重建。主持国家自然科学基金3 项，其他省部级基金2 项。作为第一主研人获得成都市科技进步二等奖1 项，四川省医学科技奖1 项。以第一作者或通讯作者发表SCI 论文20 余篇，高引用论文1 篇。获国家发明专利授权1 项，实用新型专利授权6 项。
基金资助:
四川省科学技术厅应用基础研究项目(2021YJ0129);四川大学实验技术项目(SCU201169);四川省科学技术厅中央引导地方科技发展专项资金(2020ZYD033)

Vessel anastomosis in free flap reconstruction for oral and maxillofacial defects: techniques and key points

Li Chunjie(), Han Bo, Zhu Guiquan.()

State Key Laboratory of Oral Diseases & National Clinical Research Center for Oral Diseases & Dept. of Head and Neck Oncology, West China Hospital of Stomatology, Sichuan University, Chengdu 610041, China

Received:2021-07-28 Revised:2022-03-19 Online:2022-06-01 Published:2022-06-01
Contact: Zhu Guiquan. E-mail:lichunjie@scu.edu.cn;zhugq@scu.edu.cn
Supported by:
Department of Science and Technology Application Fundamental Project of Sichuan Province(2021-YJ0129);Experimental Technology Project of Sichuan University(SCU201169);Central Guide Local Government on Technology Development of Sichuan Province(2020ZYD033);Correspondence: Zhu Guiquan, E-mail: zhugq@scu.edu.cn

摘要/Abstract

摘要：

血管吻合的质量是决定游离皮瓣移植修复术是否成功最为关键的因素。游离皮瓣在修复口腔颌面部缺损的应用中存在血管选择、受区血管相关术中表现和血管吻合技术等方面的诸多特点及技巧。同时，术后对皮瓣危象、并发症进行判断和处理时也有较多的关键点。笔者的团队在近年来开展了大量的口腔颌面缺损游离皮瓣修复，在口腔颌面颈部的血管吻合方面积累了大量的经验。本文针对口腔颌面缺损游离皮瓣修复中动静脉吻合的技巧、血管选择、血管危象的判断及处理等问题进行评述。

关键词: 游离皮瓣, 血管吻合, 血管危象, 显微外科, 修复重建外科, 口腔颌面缺损

Abstract:

The quality of vessel anastomosis is a key element for the success of free flap reconstruction. When adopting free flaps for oral and maxillofacial defect reconstruction, skills in selecting vessels, determining the clinical manifestations of the recipient vessel, and anastomosis technique are needed. Key points on postoperative flap observation were also required. We are experienced on this subject given that we have accomplished more than 1 000 free flaps for patients with oral and maxillofacial defects in the last 5 years. In this article, we summarize the skills and key points in free flap reconstruction of oral and maxillofacial defects, including vessel anastomosis skills, vessel selection, and vessel crisis diagnosis.

Key words: free flap, vessel anastomosis, vessel crisis, microsurgery, reparative and reconstructive surgery, oral and maxillofacial defects

中图分类号:

R 782.05

李春洁, 韩波, 朱桂全. 口腔颌面部缺损游离皮瓣修复中血管吻合的技巧及关键点[J]. 华西口腔医学杂志, 2022, 40(3): 271-278.

Li Chunjie, Han Bo, Zhu Guiquan.. Vessel anastomosis in free flap reconstruction for oral and maxillofacial defects: techniques and key points[J]. West China Journal of Stomatology, 2022, 40(3): 271-278.

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参考文献 13

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口腔颌面部缺损游离皮瓣修复中血管吻合的技巧及关键点

Vessel anastomosis in free flap reconstruction for oral and maxillofacial defects: techniques and key points

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