基于片的围重建的长期结果分析
Jacob R Rinkinen1, Seth Fruge1, Vanessa M Welten2
1Division of Plastic and Reconstructive Surgery, Brigham and Women's Hospital, Boston, Massachusetts, United States.
概括
在癌症手术后,脚的Gracilis片为骨盆重建提供了一个成功的选择. 这项研究发现并发症率很低,这使得它们成为高风险患者腹部片的良好替代品.
科学领域:
- 重建性手术是一种重建性手术.
- 手术瘤学手术瘤学
- 整形外科手术 整形外科手术
背景情况:
- 立即的片重建对接受腹腔切除和盆腔切除的高风险患者是有益的.
- 对于骨盆重建的最佳片选择和患者选择仍在争论中.
- 脚的Gracilis板是盆腔重建的潜在选择.
研究的目的:
- 为了评估长期的结果 pedicled gracilis片的骨盆重建.
- 为了确定手术后并发症的预测因子,在患者进行骨盆重建用Gracilis片.
主要方法:
- 对101名患者进行了回顾性审查,这些患者使用脚的Gracilis片进行了围重建.
- 收集的数据包括手术前变量和术后结果.
- 分析的重点是确定轻微和重大伤口并发症的风险因素.
主要成果:
- 总共有101名患者接受了单边的Gracilis重建,平均随访时间为75个月.
- 严重并发症发生在7.9% (早期) 和12.9% (晚期) 的患者中.
- 32.7%的患者出现轻微并发症 (伤口破坏);门癌预测了早期的重大并发症,而年轻的年龄和更高的BMI预测了轻微并发症.
结论:
- 在经过广泛的骨盆瘤切除术后,脚的Gracilis片重建证明了长期的成功.
- 捐赠部位并发症不常见 (8.9%),周围部位并发症通常可以通过局部伤口护理来控制.
- 格拉西里斯片为骨盆重建提供了吸引人的腹部基片的替代方案.
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