目的 探討股前外側皮瓣用于修復口腔頜面部缺損的護理方法。 方法 對2011年8月-12月行手術治療的42例口腔頜面部缺損患者使用股前外側皮瓣修復,重點加強皮瓣血運的觀察和血管危象的處理。 結果 39例皮瓣成活,1例皮瓣壞死;2例出現血管危象,經積極搶救后成活。 結論 股前外側皮瓣修復口腔頜面部缺損術后加強皮瓣血運的觀察和血管危象的處理對保證皮瓣成活至關重要。
In recent years, the number of interventions for valvular heart disease has been increasing day by day, and it has become a hot topic in the field of cardiovascular surgery. Given the aging global population and trends in the prevalence of valvular disease and the broadening of indications for transcatheter aortic valve replacement (TAVR), a breakthrough of 130000 TAVR procedures is expected by 2026. In the new technology development period, the development potential and technical advantages of heart valve interventional therapy should be faced squarely. This paper focuses on key issues such as comparison of outcomes after TAVR versus surgical aortic valve replacement (SAVR), prosthetic valve endocarditis after TAVR, and broadening of indications for TAVR, as well as recommendations on how surgeons face the era of TAVR. We hope that this article will help and attract the attention of cardiac surgeons.