在复合性或部缺陷重建中,对自由骨的供体腿和接受器的选择进行了比较分析
Ching-En Chen1, Chun-Yu Ma2, Chin-Jung Feng3
1Division of Plastic and Reconstructive Surgery, Department of Surgery, Taipei Veterans General Hospital, Taiwan; Institue of Clinical Medicine, National Yang-Ming Chiao-Tung University, Taipei, Taiwan.
Journal of plastic, reconstructive & aesthetic surgery : JPRAS
|November 7, 2024
概括
供体腿的选择为自由骨的复合或口缺陷的重建没有影响片失败. 接收船侧也没有显著影响本研究的结果.
科学领域:
- 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.
- 口腔和牙面部外科手术
背景情况:
- 自由关节 (FFF) 是复合口腔关节缺陷 (COMD) 的标准.
- 供体腿侧向性对FFF成功的影响尚未得到充分证实.
- 调查供体腿和受体血管对片失效的侧面影响至关重要.
研究的目的:
- 为了确定捐赠者腿的选择 (ipsilateral vs. contralateral) 是否会影响COMD重建中的自由支柱骨缺陷.
- 评估接收船侧对杆可行性的影响.
- 确定影响FFF在COMDs中的结果的因素.
主要方法:
- 对于COMD (2011-2020) 的155个FFF的回顾性分析.
- 患者被分为"Cis" (同一侧) 和"Trans" (相反侧) 捐赠腿组.
- 后勤回归,双变量分析和倾向得分匹配用于分析结果.
主要成果:
- 在"Cis"和"Trans"组之间,FFF总故障率没有显著差异.
- 部分皮肤死与糖尿病有关,而不是供体腿的横向性.
- 倾向性得分匹配证实,右和左捐赠者腿之间片失败风险没有显著差异.
结论:
- 捐赠者腿的选择似乎不是影响FFF在COMD重建中的成功的特定因素.
- 接收船侧的选择没有显示出对片故障率的重大影响.
- 进一步的研究可能会探索其他影响复杂重建FFF结果的变量.
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