在头部和部重建中应用经济学
Wen Peng1, Haixia Zhang1, Lei Jin1
1Department of Head and Neck Surgery, The Third Affiliated Hospital of Kunming Medical University, Yunnan Cancer Hospital, Kunming, Yunnan, China.
JPRAS open
|November 14, 2025
概括
接吻技术提供了可行的头癌重建选择. 前侧大腿片提供优越的稳定性和更少的并发症,指导个性化的片选择,以获得更好的结果.
科学领域:
- 手术瘤学手术瘤学
- 重建性手术是一种重建性手术.
- 头部和部癌症 头部和部癌症
背景情况:
- 接吻技术越来越多地用于头癌重建.
- 这项研究考察了古典和非古典的Kiss flap变体.
- 在这些重建的背景下,探索了经济学原则.
研究的目的:
- 为了评估古典与非古典的Kiss flap技术的有效性.
- 分析头部和部重建中的并发症率和片稳定性.
- 探索经济学在优化重建结果中的应用.
主要方法:
- 50名患者的回顾性分析,这些患者接受了用Kiss flap重建的头癌手术.
- 2016年1月至2023年5月期间收集的患者数据.
- 分类为"经典" (n=27) 和"非经典" (n=23) 类.
主要成果:
- 70%的患者表现出良好的术后愈合.
- 前侧大腿 (ALT) 板表现出最高的稳定性和最低的并发症率 (21%).
- 辐射前臂自由 (RFFF),胸部主要肌皮 (PMMF) 和骨的并发症率较高 (分别为30%,46%,50%).
结论:
- 这两种Kiss flap技术都有效用于复杂的头部和部重建.
- 建议使用ALT片,以提高稳定性并减少并发症.
- 叶片经济学原则支持个性化的叶片选择,以获得最佳的患者结果.
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