颈内静脉残端作为头颈部游离瓣移植受区静脉的可靠性探讨

目的：探讨颈内静脉残端作为头颈部游离瓣移植受区静脉的可靠性。方法：回顾分析2001年5月至2006年12月在北京大学口腔医学院·口腔医院口腔颌面外科就诊的16例头颈部恶性肿瘤患者，均采用颈内静脉残端作为头颈部游离瓣移植受区静脉的手术方法及手术效果。结果：全部游离瓣的血管蒂长度均能直接到达颈内静脉残端的位置，术后无1例游离瓣出现血管危象，全部游离瓣均获得100％成活。结论：在没有其他合适受区静脉的情形下，颈内静脉残端可以作为头颈部游离瓣移植可靠的受区静脉。

Reliability of residual internal jugular vein as the receipt vein in free flap transfer in head and neck region

Objective To analyze the reliability of residual internal jugular vein as the receipt vein in free flap transfer in head and neck region. Methods Sixteen cases of head and neck reconstruction using the end-to-side anastomosis to the residual internal jugular vein were reviewed. Results There were 11 radial forearm flaps, 3 fibular flaps, one jejunal flap, and one abdominis myocutaneous flap. The vascular pedicles of all free flaps have enough length to reach the site of residual internal jugular vein for anastomosis without the need of vein grafting. All the free flaps survived completely, without postoperative vessel thrombosis. Conclusions End-to-side anastomosis to the residual internal jugular vein in free flap transfer in head and neck region is safe and reliable.