動靜脈分流回路於游離皮瓣重建的應用－二病例報告

Application of Arteriovenous Shunt Loop in Free Flap Reconstruction-Report of Two Cases

廖浩哲(Hao-Jhe Liao) ； 白馨(Shin Pai) ； 李芳輝(Feng-Hui Lee) ； 羅正興(Cheng-Hsing Lo)

《臺灣口腔顎面外科學會雜誌》 32卷2期 (2021/06) Pp. 115-124

摘要

在使用游離皮瓣重建中，可能因多次重建或外傷而引起受贈區血管短缺而無法進行重建，這個時候我們可以試著從更遠的地方去尋找合適的受贈區血管，再利用靜脈移植體建立動靜脈分流回路的方式來克服血管長度不夠的問題。本院提供兩例使用大隱靜脈來建立動靜脈分流回路、再利用闊背肌游離皮瓣吻合的案例。因手術涉及較平時更為複雜之顯微重建，故提出病例報告並進行文獻回顧。

關鍵字

游離皮瓣 ； 動靜脈分流回路 ； 靜脈移植體 ； 受贈區 ； 捐贈區

並列摘要

When utilizing free flap reconstruction, sometimes the problem of insufficient vascular length either from the recipient site vessels or from the donor site flap pedicle due to repeated surgery or severe trauma may be encountered. Under these circumstances, suitable recipient vessels from a distant region may be found, or a vein graft to establish an arteriovenous shunt loop to overcome the shortage of vascular length can be utilized. Two cases were presented, both of them utilizing the great saphenous vein graft to build the arteriovenous shunt loop which followed by anastomosis with the latissimus dorsi free flap pedicle for reconstruction. Since the operations involved more complicated microvascular reconstruction technique, hence these two cases were presented and the relevant articles reviewed.

並列關鍵字

Free flap ； Arteriovenous shunt loop ； Vein graft ； Recipient site ； Donor site