口腔颌面外科杂志
口腔頜麵外科雜誌
구강합면외과잡지
CHINESE JOURNAL OF ORAL AND MAXILLOFACIAL SURGERY
2014年
3期
195-199
,共5页
上蒂垂直型颈阔肌肌皮瓣%口腔颌面部恶性肿瘤%皮瓣成活
上蒂垂直型頸闊肌肌皮瓣%口腔頜麵部噁性腫瘤%皮瓣成活
상체수직형경활기기피판%구강합면부악성종류%피판성활
superiorly based platysma flap%oral and maxillofacial malignant tumor%survival condition
目的：分析口腔颌面部恶性肿瘤经上蒂垂直型颈阔肌肌皮瓣修复后，影响皮瓣存活的因素。方法：对2010-2013年间收治的，117例口腔颌面部恶性肿瘤应用颈阔肌肌皮瓣修复的病例进行回顾性分析。研究变量包括性别、年龄、糖尿病病史、术中面动脉的保留与否、皮瓣设计的长宽比例、肿瘤的原发部位、肿瘤的T分期、术后受区的感染与否，结果变量为患者皮瓣的坏死与存活。采用SPSS 17.0软件包对数据进行χ2检验和Logistic多因素回归分析。结果：患者糖尿病病史、术后受区的感染与皮瓣存活之间有统计学意义。而患者的年龄、性别、术中面动脉的保留与否、皮瓣设计的长宽比例、肿瘤的T分期、肿瘤的原发部位与皮瓣的存活无统计学意义。结论：口腔颌面部上蒂垂直型颈阔肌肌皮瓣修复后皮瓣存活的状况受多因素影响的，患者糖尿病病史、术后受植区的感染状况与皮瓣存活有相关性。为临床上预防颈阔肌肌皮瓣术后坏死提供了重要的参考依据。
目的：分析口腔頜麵部噁性腫瘤經上蒂垂直型頸闊肌肌皮瓣脩複後，影響皮瓣存活的因素。方法：對2010-2013年間收治的，117例口腔頜麵部噁性腫瘤應用頸闊肌肌皮瓣脩複的病例進行迴顧性分析。研究變量包括性彆、年齡、糖尿病病史、術中麵動脈的保留與否、皮瓣設計的長寬比例、腫瘤的原髮部位、腫瘤的T分期、術後受區的感染與否，結果變量為患者皮瓣的壞死與存活。採用SPSS 17.0軟件包對數據進行χ2檢驗和Logistic多因素迴歸分析。結果：患者糖尿病病史、術後受區的感染與皮瓣存活之間有統計學意義。而患者的年齡、性彆、術中麵動脈的保留與否、皮瓣設計的長寬比例、腫瘤的T分期、腫瘤的原髮部位與皮瓣的存活無統計學意義。結論：口腔頜麵部上蒂垂直型頸闊肌肌皮瓣脩複後皮瓣存活的狀況受多因素影響的，患者糖尿病病史、術後受植區的感染狀況與皮瓣存活有相關性。為臨床上預防頸闊肌肌皮瓣術後壞死提供瞭重要的參攷依據。
목적：분석구강합면부악성종류경상체수직형경활기기피판수복후，영향피판존활적인소。방법：대2010-2013년간수치적，117례구강합면부악성종류응용경활기기피판수복적병례진행회고성분석。연구변량포괄성별、년령、당뇨병병사、술중면동맥적보류여부、피판설계적장관비례、종류적원발부위、종류적T분기、술후수구적감염여부，결과변량위환자피판적배사여존활。채용SPSS 17.0연건포대수거진행χ2검험화Logistic다인소회귀분석。결과：환자당뇨병병사、술후수구적감염여피판존활지간유통계학의의。이환자적년령、성별、술중면동맥적보류여부、피판설계적장관비례、종류적T분기、종류적원발부위여피판적존활무통계학의의。결론：구강합면부상체수직형경활기기피판수복후피판존활적상황수다인소영향적，환자당뇨병병사、술후수식구적감염상황여피판존활유상관성。위림상상예방경활기기피판술후배사제공료중요적삼고의거。
Objective: To analyze the factors about the survival condition of superiorly based platysma flap that repairs oral and maxillofacial malignant tumor. Methods: A retrospective study was conducted in 117 patients used superiorly based platysma flap to repair the tissue defect of oral and maxillofacial malignant tumor from 2010 to 2013. The study variables were gender, age, diabetes mellitus, the preservation of the facial artery, The design of the flap length-width ratio, primary site of the tumor, the T stage of tumor, the infection of flap area. The outcome variables were the necrosis and survival of the flap. Statistical analysis of the results was performed using Chi-square test and Logistic regression analysis with SPSS17.0 software package. Results: The history of diabetes mellitus and the infection of flap area were statistically significant with the survival condition of superiorly based platysma flap. However the patients′ age, gender, the preservation of the facial artery, the design of the flap length-width ratio, primary site of the tumor and the T stage of tumor have no statistical significance. Conclusion: The survival condition of superiorly based platysma flap that repairs oral and maxillofacial malignant tumor was affected by various factors, including the history of diabetes mellitus and postoperative infection by planting area. And it will provides important reference basis for clinical prevention of postoperative platysma myocutaneous flap necrosis.
