Complications of Free Flap Surgery

游離皮瓣手術之併發症

宋仁宇(Ren-Yeu Soong) ； 王先震(Hsian-Jenn Wang) ； 宣以理(Yii-Lii Shiuan) ； 劉宏川(Horng-Chuan Liu) ； 陳天牧(Tim-Mo Cnen) ； 湯有銘(Yeou-Ming Tung) ； 鄭天宇(Tian-Yeu Cneng) ； 鄭立福(Li-Fu Cneng) ； 陳慶豐(Chiieng-Feng Cnen)

《Journal of Medical Sciences》 12卷4期 (1992/02) Pp. 269-276

摘要

我們分析55例游離皮瓣手術之併發症，而其手術之併發症率是21.8％，其中包括皮瓣接受區（20％）及皮瓣給予區（1.8％）。游離皮瓣手術的失敗率是3.6％，而造成手術併發症的原因，依次是部分皮瓣壞死（9.0％）、血腫塊（3.6％）及靜脈血栓塞（3.6％），而早期適當的皮瓣救助措施是可以增加皮瓣的存活。在這個回溯性的研究中，我們發現精細的血管吻合術、減少皮瓣的缺血時間、溫和的操作及適切的術後評估等，這些都是促使游離皮瓣手術成功的必要條件。

關鍵字

併發症 ； 游離皮瓣手術

並列摘要

We analysed complications in a series of 55 free flap surgeries. The overall complication rate was 21.8% which includes both recipient area flaps (20%) and donor site morbidity (1 .8%). The flap surgery failure rate was 3.6%. Etiology of the complications include partial flap necrosis (9%) hematoma (3.6%). and venous thrombosis (3.6%). Early prompt flap salvage procedure was the method of choice to improve flap survival. In this retrospective study we found that meticulous anastomosis minimized the flap ischemic time in combination with gentle manipulation and adequate postoperative evaluation were all necessary in creating successful flap surgery.

並列關鍵字

Complications ； Free flap surgery