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目的分析腓骨瓣修复重建下颌骨时受区血管的选择情况及效果。方法回顾收集2005—2012年间我院腓骨瓣游离移植重建下颌骨的患者共32例,分析32例患者面颈部受区动静脉的选择及腓骨瓣存活情况。结果 32例腓骨瓣吻合动脉32根,受区动脉包括颌外动脉27根,甲状腺上动脉1根,舌动脉3根,颈外动脉1根;吻合静脉36根,受区静脉包括面静脉11根,颈外静脉11根,面总静脉9根,面后静脉3根,颈内静脉2根。术后3例出现血管危象,经抢救后均成活。结论游离腓骨瓣重建下颌骨时,面颈部有多个动静脉可供选择,可根据受区血管管径、走行、管腔压力等因素综合考虑。
OBJECTIVE: To analyze the selection and effect of the vessels in the affected area when the fibula flap is repaired and reconstruct the mandible. Methods A total of 32 patients with mandibular autograft treated with fibula flap from 2005 to 2012 were retrospectively collected. The choice of area arteriovenous fistula and fibular flap survival in 32 patients were analyzed. Results 32 cases of fibular flap anastomosis of 32 arteries, including regional artery, including 27 external carotid arteries, 1 thyroid artery, 3 lingual arteries, 1 external carotid artery; 36 anastomotic veins, including regional veins including 11 veins , 11 external jugular vein, 9 total facial veins, 3 posterior facial veins, 2 internal jugular veins. Postoperative vascular crisis in 3 cases, survived after the rescue. Conclusion Free fibular flap reconstruction of the mandible, facial and neck have a number of arteriovenous to choose from, according to the area of vascular diameter, walking, lumen pressure and other factors considered.