摘要： 目的：探讨以上臂头静脉作为受区静脉在口腔颌面部修复重建中的作用和临床意义。方法：5例经过多次口腔颌面部肿瘤切除、放疗后的患者进行组织瓣移植。由于头颈部静脉系统被手术、放疗等破坏，无法提供可靠的受区回流静脉，将上臂头静脉远心端返转至头颈部作为受区血管与移植骨块回流静脉进行显微外科吻合。结果：术后无血管危象发生，血管化组织瓣建立了良好的血液循环，获得了理想的修复重建效果。结论：在头颈部无可利用的受区静脉的情况下，返转上臂头静脉作为回流静脉能够为口腔颌面部缺损的修复重建提供一种方法。
关键词:
头静脉,
修复重建,
显微外科
Abstract: Objective: To evaluate the effect of arm cephalic vein for anastomosis in reconstruction of oral and maxillofacial oncologic defects. Methods: Reconstructive and transplantation surgery was performed in five patients whom underwent tumor ablation，neck dissection and radiotherapy in the head and neck region. As the recipient veins were damaged by the radical treatment in this area, the arm cephalic vein was dissected and rotated to neck as a substitute recipient graft to anastomosis with the vein of the bone graft. Results: The grafts demonstrated a reliable circulation and the effects of reconstruction were satisfied. Conclusion: In conditions of no useful recipient vein in head and neck region during tumor surgery, the upper arm cephalic vein could provide a way to finish the microsurgery in reconstruction of oral and maxillofacial defects.
Key words:
cephalic vein,
reconstruction,
microsurgery
中图分类号:
曲行舟， 胡永杰， 阮敏， 刘浏， 张陈平. 上臂头静脉在口腔颌面部缺损修复重建中的应用[J]. 《口腔颌面外科杂志》, 2013, 23(3): 197-200.
QU Xing-zhou, HU Yong-jie, RUAN Min, LIU Liu, ZHANG Chen-ping. Arm Cephalic Vein as a Peripheral Vascular Graft in Reconstruction of Oral and Maxillofacial Oncologic Defects[J]. 《Journal of Oral and Maxillofacial Surgery》, 2013, 23(3): 197-200.