中国基层医药
中國基層醫藥
중국기층의약
CHINESE JOURNAL OF PRIMARY MEDICINE AND PHARMACY
2014年
16期
2487-2488,2489
,共3页
外科皮瓣%修复外科手术%面部肿瘤
外科皮瓣%脩複外科手術%麵部腫瘤
외과피판%수복외과수술%면부종류
Surgical flaps%Reconstructive surgical procedures%Facial neoplasms
目的：探讨游离组织瓣移植在口腔颌面头颈肿瘤缺损修复术中的应用价值。方法选择154例口腔颌面组织缺损患者，有50例为舌口底区缺损，13例为面颊腭部缺损，35例为上颌骨缺损，27例为下颌骨缺损，28例为上颌骨缺损。对所有缺损患者行游离组织瓣口腔颌面部缺损修复术，其中前臂皮瓣43例，腓骨复合组织瓣15例，膈骨肌皮瓣24例，股前外侧皮瓣皮瓣26例，游离胸大肌皮瓣12例，腓骨肌组织瓣15例，其它游离组织瓣34例，回顾性分析其成活率及术后并发症。结果154例游离组织瓣成活率为96.75％，其中前臂皮瓣成活率为97．67％，膈骨肌皮瓣成活率为95．83％，股前外侧皮瓣成活率为96．15％，游离胸大肌皮瓣成活率为91．67％，腓骨肌组织瓣成活率为93．33％，股前外侧皮瓣成活率为100．00％；154例中，138例患者清晰度达90．00％以上，另外16例患者语言清晰度达70．00％。结论口腔颌面部创伤性组织缺损采用游离组织瓣移植重建具有一定的安全性和有效性，最常用的游离组织瓣为前臂皮瓣和腓骨瓣，修复成功率高，术后语言功能恢复情况好，值得临床推广应用。
目的：探討遊離組織瓣移植在口腔頜麵頭頸腫瘤缺損脩複術中的應用價值。方法選擇154例口腔頜麵組織缺損患者，有50例為舌口底區缺損，13例為麵頰腭部缺損，35例為上頜骨缺損，27例為下頜骨缺損，28例為上頜骨缺損。對所有缺損患者行遊離組織瓣口腔頜麵部缺損脩複術，其中前臂皮瓣43例，腓骨複閤組織瓣15例，膈骨肌皮瓣24例，股前外側皮瓣皮瓣26例，遊離胸大肌皮瓣12例，腓骨肌組織瓣15例，其它遊離組織瓣34例，迴顧性分析其成活率及術後併髮癥。結果154例遊離組織瓣成活率為96.75％，其中前臂皮瓣成活率為97．67％，膈骨肌皮瓣成活率為95．83％，股前外側皮瓣成活率為96．15％，遊離胸大肌皮瓣成活率為91．67％，腓骨肌組織瓣成活率為93．33％，股前外側皮瓣成活率為100．00％；154例中，138例患者清晰度達90．00％以上，另外16例患者語言清晰度達70．00％。結論口腔頜麵部創傷性組織缺損採用遊離組織瓣移植重建具有一定的安全性和有效性，最常用的遊離組織瓣為前臂皮瓣和腓骨瓣，脩複成功率高，術後語言功能恢複情況好，值得臨床推廣應用。
목적：탐토유리조직판이식재구강합면두경종류결손수복술중적응용개치。방법선택154례구강합면조직결손환자，유50례위설구저구결손，13례위면협악부결손，35례위상합골결손，27례위하합골결손，28례위상합골결손。대소유결손환자행유리조직판구강합면부결손수복술，기중전비피판43례，비골복합조직판15례，격골기피판24례，고전외측피판피판26례，유리흉대기피판12례，비골기조직판15례，기타유리조직판34례，회고성분석기성활솔급술후병발증。결과154례유리조직판성활솔위96.75％，기중전비피판성활솔위97．67％，격골기피판성활솔위95．83％，고전외측피판성활솔위96．15％，유리흉대기피판성활솔위91．67％，비골기조직판성활솔위93．33％，고전외측피판성활솔위100．00％；154례중，138례환자청석도체90．00％이상，령외16례환자어언청석도체70．00％。결론구강합면부창상성조직결손채용유리조직판이식중건구유일정적안전성화유효성，최상용적유리조직판위전비피판화비골판，수복성공솔고，술후어언공능회복정황호，치득림상추엄응용。
Objective To investigate the free tissue flap in oral and maxillofacial surgery in head and neck cancer defects application value .Methods 154 cases of oral and maxillofacial tissue defects ,50 cases of tongue-mouth floor area defects ,13 cases of cheek palate defect ,35 cases of maxillary defect ,27 cases for the mandible , 28 cases of maxillary defects were selected .All patients underwent defect for free flap surgery oral and maxillofacial defects,of which 43 cases of forearm flap,fibula composite flap 15 cases,24 cases of diaphragmatic bone flap ,antero-lateral thigh flap flap 26 cases,free chest major muscle flap in 12 cases,15 cases of fibula flap,the other free flap, 34 patients were retrospectively analyzed the survival rate and postoperative complications .Results 154 cases of free flap,the survival rate was 96.75%.Which forearm flap survival rate was 97.67%;phrenic bone flap survival rate was 95.83%;anterolateral thigh flap survival rate was 96.15%;free pectoralis major flap survival rate was 91.67%;fibu-la flap survival was 93.33%;anterolateral thigh flap survival rate was 100.00%.Determination of the language defini-tion,154 patients,138 patients more than 90.00%clarity,while 16 patients more than 70.00%speech intelligibility. Conclusion Oral and maxillofacial traumatic tissue defects using free tissue flap reconstruction has certain safety and efficacy,the most common forearm free flap and fibula .Traumatic soft tissue defects in the early positive selection of free flap can effectively prevent tissue deformation and shift repair success rate ,postoperative language function recov-ery is good,it is worthy of clinical application .
