头颈部缺损修复重建中受区静脉的比较分析

doi:10.13701/j.cnki.kqyxyj.2020.11.005

摘要/Abstract

摘要： 头颈部肿瘤手术切除和外伤等原因常导致组织缺损及功能障碍,因此在手术治疗的同时,重建头颈部组织缺损的解剖形态和生理功能极其重要。显微血管游离皮瓣移植已成为修复头颈部组织缺损的主要方法,选择合适的受区血管是保证游离皮瓣移植手术成功的关键因素。头颈部可供外科医生选择的受区静脉包括面总静脉、舌静脉、甲状腺上静脉、颈横静脉、颞浅静脉、颈外静脉、颈内静脉等。目前,静脉血栓是游离皮瓣重建失败的主要原因,因此选择合适的受区静脉非常重要。本文对头颈部缺损修复重建中影响受区静脉选择的因素进行综述,为临床上的选择和进一步研究提供证据。

关键词: 头颈缺损, 重建, 游离皮瓣, 静脉血栓

Abstract: Surgical removal of tumors of the head and neck usually results in tissue defect and dysfunction, the same as trauma and other factors. Therefore, it is very important to reconstruct the anatomical shape and physiological function of the head and neck tissue defect at the same time of surgical treatment. Microvascular free skin flap transplantation has become the main method for repairing head and neck tissue defects. Selecting suitable recipient vessels is the key factor to ensure the success of free skin flap transplantation. The recipient veins of head and neck for surgeons to choose include common facial vein, lingual vein, superior thyroid vein, transverse jugular vein, superficial temporal vein, external jugular vein, and internal jugular vein. At present, venous thrombosis is the main reason for the failure of free skin flap reconstruction, so it is very important to select the appropriate recipient vein. In this paper, the factors affecting venous selection in the reconstruction of head and neck defects are reviewed to provide evidence for clinical selection and further research.

Key words: head and neck defect, reconstruction, free flaps, venous thrombosis

尹寿成, 徐中飞. 头颈部缺损修复重建中受区静脉的比较分析[J]. 口腔医学研究, 2020, 36(11): 1004-1006.

YIN Shoucheng, XU Zhongfei. Comparative Analysis of Recipient Veins in Reconstruction of Head and Neck Defects.[J]. Journal of Oral Science Research, 2020, 36(11): 1004-1006.

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