Longitudinal Contraction Venoplasty in Prevention of Internal Jugular Vein Thrombosis After Free Flap Vascular Anastomosis
Longitudinal Contraction Venoplasty in Prevention of Internal Jugular Vein Thrombosis After Free Flap Vascular Anastomosis
复制标题
纵向收缩静脉成形术预防游离皮瓣血管吻合术后颈内静脉血栓形成
DOI：
10.1016/j.joms.2016.01.006
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发表时间：
2016-06-01
影响因子：
1.9
通讯作者：
Wu, Han-Jiang
中科院分区：
文献类型：
--
作者：
Gong, Zhao-Jian;Chen, Yan-rong;Wu, Han-Jiang
目的：游离皮瓣与颈内静脉残端的吻合血管易发生血栓，导致皮瓣损伤或失败。本研究旨在探讨纵向收缩静脉成形术预防颈内静脉游离皮瓣血管吻合术后残端血栓形成的方法及其可行性。回顾性分析了16例因肿瘤消融和纵向收缩静脉成形术接受颈内静脉切除术的患者，以防止游离皮瓣血管吻合术后颈内静脉残端血栓形成，2013年1月至2014年12月，湘雅二医院。结果：所有皮瓣静脉均与颈内静脉残端吻合，均为单静脉吻合。术后皮瓣全部成活，无血管损伤。所有患者随访约9 ~ 33个月，对供、受区重建后的美观和功能效果均满意。结论：纵向收缩静脉成形术是预防游离皮瓣血管吻合术后颈内静脉血栓形成的一种有效的新方法。(C)2016年美国口腔颌面外科医师协会
Purpose: The vascular anastomosis of free flap with the internal jugular vein stump is susceptible to thrombosis, thus resulting in flap compromise or failure. This study aims to explore the method of longitudinal contraction venoplasty in the prevention of internal jugular vein stump thrombosis after free flap vascular anastomosis and its feasibility.Patients and Methods: A retrospective review was performed of 16 patients who underwent internal jugular vein resection because of cancer ablation and longitudinal contraction venoplasty to prevent internal jugular vein stump thrombosis after free flap vascular anastomosis from January 2013 through December 2014 at Second Xiangya Hospital. The methods for longitudinal contraction venoplasty and its efficacy are reported.Results: Venous anastomosis of all flaps was performed with the internal jugular vein stump, and single venous anastomosis was made in all cases. Postoperatively, all flaps survived completely, without vascular compromise. All the patients were followed for approximately 9 to 33 months, and they were satisfied with the esthetic and functional results of the donor and recipient sites after reconstruction.Conclusions: Longitudinal contraction venoplasty may be an effective new method for prevention of internal jugular vein thrombosis after free flap vascular anastomosis. (C) 2016 American Association of Oral and Maxillofacial Surgeons