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胸大肌肌皮瓣的适应证及并发症─—379例次经验总结 被引量:36

The indications and complications of pectoralis myocutaneous flap ──An analysis of 379 cases.
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摘要 本文对10余年来375例共379次胸大肌肌皮瓣的临床使用进行分析,此瓣供血可靠,能满足大多数头颈部肿瘤手术的缺损修复和功能重建,是一块用途广范的组织瓣。全组皮瓣全部坏死率1.8%,部分坏死率5.0%。作者对胸大肌肌皮瓣手术的并发症及其预防,提供了自己的经验。 Abstract This is a 11 year experience of the reconstruction of head and neck defect with pectoral major myocutaneous flap.375 cases and 379 flaps were reported.Total flap necrosis was 1.8%。 Partial necrosis was 5%. This flap is safe,simple to perform,and could meet most of the reconstruction requiments in head and neck regeon. It is a most useful flap. The authors discussed the prevention of the complications. To preserve the lateral thoracic artety along with the thoracoacromial artery as the ves- sel pedicle can reduce the flap crisis. Meanwhile,it is important to select the broad- spectrum antibiotics in the high-risk patients and to use the continuous suction.
出处 《耳鼻咽喉(头颈外科)》 1994年第1期44-47,共4页 Chinese Arch Otolaryngology-Head Neck Surg
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