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在部剖析或放射治疗后的头部和部重建中进行血管选择

Yasufumi Makiuchi^1,2, Daisuke Kageyama², Masaki Arikawa²

¹Department of Plastic and Reconstructive Surgery, Kyorin University School of Medicine, Tokyo, Japan.

|September 8, 2025

概括

在先前接受放射治疗或部剖析的头癌患者中,自由片重建需要仔细选择接受器. 虽然可以使用被辐射的血管,但静脉并发症在辐射后增加,需要谨慎的手术规划.

科学领域:

头部和部手术头部和部手术
微手术微手术是一种微手术.
瘤重建癌症重建

背景情况:

在瘤切除后的头部和部重建中,自由片转移至关重要.
在患者之前部剖析和/或放射治疗的患者中,接受器的选择具有挑战性.
这项研究分析了基于接受器的选择和与先前治疗相关的片故障的结果.

研究的目的:

评估放射治疗和部剖析史对接受器选择和自由结果的影响.
在头部和部重建中识别片失效的危险因素.
评估在被辐射或切割的部区域使用接收器的可行性和安全性.

主要方法:

671个头部和部自由重建的回顾性审查 (2018年4月 - 2024年3月).
患者被分为四组:单独放射治疗 (RT),单独部剖析 (ND),两者 (NDRT) 和完整的部 (IN).
收集了关于类型,缺陷区域,接收容器选择,故障和风险因素的数据.

主要成果:

整体片衰竭和治疗史之间没有显著的关联.
然而,静脉相关的膜衰竭与先前的放射治疗有关 (p<0.05).
膜缺陷也与位于辐射区域内的解剖血管有关 (p<0.05).

结论:

辐射区域内的接受器可以成功地用于头部和部的重建.
之前的放射治疗增加了与静脉相关的片衰竭的风险.
仔细考虑接受器的状态是成功重建在有辐射治疗史的患者至关重要的.

关键词:

免费的折叠板可以放开.头部和部重建的重建部解剖部解剖部解剖辐射疗法辐射疗法接收船只的选择

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