在重建性微手术中,护脚自由的结果:系统性审查和元分析
Agustin N Posso1, Audrey Mustoe1, Maria J Escobar-Domingo1
1Division of Plastic and Reconstructive Surgery, Beth Israel Deaconess Medical Center, Harvard Medical School, Boston, Massachusetts, USA.
Microsurgery
|July 25, 2025
概括
副皮自由 (PFF) 是一种可靠的重建性微手术选择,失败率低,为0.99%. 这一系统性审查强调了其多功能性和各种手术需要的最小并发症.
科学领域:
- 微手术 微手术是一种微手术.
- 整形外科 整形外科 整形外科
- 重建性手术是一种重建性手术.
背景情况:
- 副皮自由 (PFF) 是由环骨动脉的副皮分支提供的一种皮,提供了修改和与其他片结合的解剖学多功能性.
- 尽管它具有潜力,但在重建性微手术中PFF使用的综合性表征仍然有限.
研究的目的:
- 进行系统性审查和元分析,以评估副骨自由 (PFF) 的关键特征和结果.
- 评估与PFF在重建手术中的失败和并发症率.
主要方法:
- 遵守PRISMA系统审查和元分析指南.
- 在多个在线数据库中进行全面的文献搜索,直至2024年.
- 包括涉及接受PFF手术的患者的研究,并提取有关失败率,并发症和叶片特征的数据.
- 聚合数据分析以确定并发症率.
主要成果:
- 分析了包括647名患者和664名PFF在内的84篇文章.
- 在57.38%的案例中,PFF单独使用,在42.62%的案例中,PFF与其他片结合使用.
- 主要接受地点是头部和部 (72.52%),主要迹象包括恶性瘤 (28.64%),烧伤后痕 (17.35%) 和创伤 (13.26%).
- 聚合失败率为0.99% (95% CI:0%-2.63%) 没有观察到异质性 (I2=0%).
- 其他并发症的发生率:部分亡 (2.09%),血瘤 (5.18%),伤口脱光 (5.98%),感染 (0.86%) 和静脉血栓 (1.57%).
结论:
- 副皮自由 (PFF) 是重建性微手术的高度通用和可靠的选择.
- 它在各种解剖部位和指示中显示出较低的失败率和最小的并发症概况.
- 在各种重建场景中,PFF是小外科医生必不可少的工具.
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