放射前臂自由片中术后捐赠部位并发症的危险因素
1Department of Plastic and Reconstructive Surgery, Ewha Womans University Seoul Hospital, College of Medicine, Ewha Womans University, 1071 Gonghangdae-ro 260, Gangseo-Gu, Seoul 07985, Republic of Korea.
Medicina (Kaunas, Lithuania)
|September 28, 2024
概括
辐射前臂自由 (RFFF) 重建可能导致捐赠部位并发症. 高血压和年龄较大对伤口愈合有负面影响,而糖尿病增加了麻醉风险.
科学领域:
- 整形外科 整形外科 整形外科
- 在瘤学瘤学.
- 重建性手术是一种重建性手术.
背景情况:
- 辐射前臂自由 (RFFF) 是用于头癌重建的常见方法.
- 捐赠部位并发症是RFFF手术的一个重大缺点.
- 确定这些并发症的预测因素对于改善患者的治疗结果至关重要.
研究的目的:
- 为了确定患者的并发症和预测RFFF后捐赠部位并发症的因素.
- 分析高血压,年龄,糖尿病,移植体大小和非细胞皮肤基质 (ADM) 对RFFF结果的影响.
主要方法:
- 67名接受头癌RFFF治疗的患者 (2015-2022) 的回顾性图表审查.
- 对人口统计,临床和术后并发症数据的评估.
- 单变量和多变量分析以确定并发症的显著预测因素.
主要成果:
- 25名患者的皮肤移植愈合延迟;9人经历了感官变化.
- 高血压和晚年与伤口愈合的负面影响有关.
- 手部胀与移植体大小相关;糖尿病患者的麻醉症较高,ADM使用者较低.
结论:
- 高血压增加了RFFF后伤口愈合延长的风险.
- 糖尿病患者可能受益于加强神经病症护理和ADM用于感官恢复的使用.
- 建议对高血压患者的伤口愈合进行密切监测.
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