中国基层医药
中國基層醫藥
중국기층의약
CHINESE JOURNAL OF PRIMARY MEDICINE AND PHARMACY
2013年
14期
2107-2109
,共3页
舌肿瘤%口腔外科手术%修复外科手术%外科皮瓣
舌腫瘤%口腔外科手術%脩複外科手術%外科皮瓣
설종류%구강외과수술%수복외과수술%외과피판
Tongue neoplasms%Oral surgical procedures%Reconstructive surgical procedures%Surgical flaps
目的 探讨舌癌患者手术后采用前臂皮瓣进行舌再造的临床效果.方法 选取舌癌手术后患者60例,进行舌再造时采用游离前臂皮瓣(前臂组)30例和胸大肌皮瓣(胸大肌组)30例,观察两组舌再造的皮瓣成活和愈合情况、语音功能恢复和舌形满意程度、重建后并发症以及生活质量等情况.结果 前臂组皮瓣成活率和愈合率均明显高于胸大肌组(93.33％与70.00％,96.67％与70.00％,均P＜0.05).前臂组23例语音功能恢复多于胸大肌组的15例,患者对舌体外形满意度也明显好于胸大肌组(96.67％与66.67％,均P＜0.05).前臂组手术后并发症发生率明显少于胸大肌组(13.33％与36.37％,P＜0.05),生活质量评分高于胸大肌组[(981.00±10.47)分与(902.00±22.54)分,P＜0.05].结论 舌癌患者手术后采用前臂皮瓣进行舌再造,具有成活率高和愈合情况理想,语音功能恢复程度好,患者对舌体外形满意度高以及并发症较少等优势,对提高患者手术后的生活质量有积极的意义.
目的 探討舌癌患者手術後採用前臂皮瓣進行舌再造的臨床效果.方法 選取舌癌手術後患者60例,進行舌再造時採用遊離前臂皮瓣(前臂組)30例和胸大肌皮瓣(胸大肌組)30例,觀察兩組舌再造的皮瓣成活和愈閤情況、語音功能恢複和舌形滿意程度、重建後併髮癥以及生活質量等情況.結果 前臂組皮瓣成活率和愈閤率均明顯高于胸大肌組(93.33％與70.00％,96.67％與70.00％,均P＜0.05).前臂組23例語音功能恢複多于胸大肌組的15例,患者對舌體外形滿意度也明顯好于胸大肌組(96.67％與66.67％,均P＜0.05).前臂組手術後併髮癥髮生率明顯少于胸大肌組(13.33％與36.37％,P＜0.05),生活質量評分高于胸大肌組[(981.00±10.47)分與(902.00±22.54)分,P＜0.05].結論 舌癌患者手術後採用前臂皮瓣進行舌再造,具有成活率高和愈閤情況理想,語音功能恢複程度好,患者對舌體外形滿意度高以及併髮癥較少等優勢,對提高患者手術後的生活質量有積極的意義.
목적 탐토설암환자수술후채용전비피판진행설재조적림상효과.방법 선취설암수술후환자60례,진행설재조시채용유리전비피판(전비조)30례화흉대기피판(흉대기조)30례,관찰량조설재조적피판성활화유합정황、어음공능회복화설형만의정도、중건후병발증이급생활질량등정황.결과 전비조피판성활솔화유합솔균명현고우흉대기조(93.33％여70.00％,96.67％여70.00％,균P＜0.05).전비조23례어음공능회복다우흉대기조적15례,환자대설체외형만의도야명현호우흉대기조(96.67％여66.67％,균P＜0.05).전비조수술후병발증발생솔명현소우흉대기조(13.33％여36.37％,P＜0.05),생활질량평분고우흉대기조[(981.00±10.47)분여(902.00±22.54)분,P＜0.05].결론 설암환자수술후채용전비피판진행설재조,구유성활솔고화유합정황이상,어음공능회복정도호,환자대설체외형만의도고이급병발증교소등우세,대제고환자수술후적생활질량유적겁적의의.
Objective To explore the clinical effect of tongue cancer patients after surgery with radial forearm flap in tongue reconstruction.Methods 60 tongue cancer patients after surgery were selected and randomly divided into the pectoralis major latissimus dorsi myocutaneous flap group and free forearm group,30 patients in each group.The tongue flap survival and healing,voice function recovery,lingual satisfaction,reconstruction complications and the quality of life,etc were observed.Results The survival rate and healing rate of flap in the forearm flap group were significantly higher than those of latissimus dorsi myocutaneous breast patients (93.33％ vs 70.00％,96.60％ vs 70.00％,all P ＜0.05).Forearm patients speech function recovery and tongue body shape satisfaction were signifi cantlybetter thanthepectoralismajormusclegroups (96.67 ％ vs 66.67 ％,P ＜ 0.05).Aftersurgery,the complica tions of forearm group was less than pectoralis major group (13.33％ vs 36.37％,P ＜ 0.05).Quality of life score of forearm group was significantly higher than the pectoralis major group[(981.00 ± 10.47)points vs (902.00 ± 22.54) points,(P ＜ 0.05)].Conclusion In patients with tongue cancer after surgery with radial forearm flap in tongue reconstruction,the advantages are ideal survival rate and healing situation,good voice function recovery degree,high tongue body shape satisfaction and less complications,and has the positive influence to the patients quality of life after surgery.
