在患有莫亚莫亚病的患者的再血管化手术后,使用旋转片重建头皮缺陷
Mengdong Liu1, Yuming Luo1, Liang Zhu2
1Department of Burns and Cutaneous Surgery, Xijing Hospital, Air Force Medical University, Xi'an, Shaanxi, China.
World neurosurgery
|October 13, 2023
概括
旋转板可以在重血管化手术后重建头皮缺陷. 然而,与伤口相关的并发症 (WRC) 是常见的,特别是暴露的骨,多重组织移植或周围薄薄的头皮.
科学领域:
- 整形外科 整形外科 整形外科
- 微手术 微手术是一种微手术.
- 重建性手术是一种重建性手术.
背景情况:
- 在重血管化手术后,头皮缺陷的重建是具有挑战性的,原因是受损的微循环.
- 旋转片是一种潜在的解决方案,但与伤口相关的并发症 (WRC) 是一个问题.
研究的目的:
- 审查旋转在头皮缺陷重建中的临床结果.
- 为了确定这些重建性手术后WRC的风险因素.
主要方法:
- 对11名患者进行回顾性分析,这些患者接受了头皮缺陷的旋转重建手术后重血管化手术 (2018年1月至2022年12月).
- 基于手术技术 (直接与间接绕道) 和切口类型的结果评估.
主要成果:
- 与伤口相关的并发症 (WRC) 在40%的直接旁路 (表面动脉) 患者中发生.
- 在接受间接绕道手术的患者中也发生了WRC.
- 不同形状的切口 (问号,曲,Y形) 显示出相似的WRC率.
结论:
- 不活性的骨暴露,使用三种或更多的捐赠组织 (包括骨周),以及周围薄薄的头皮是WRC的潜在风险因素.
- 需要进一步的研究来优化旋转技术,并尽量减少这种患者群体的并发症.
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