国际口腔医学杂志
國際口腔醫學雜誌
국제구강의학잡지
JOURNAL OF INTERNATIONAL STOMATOLOGY
2014年
6期
639-642
,共4页
口腔癌术后%同期修复%颏下岛状皮瓣
口腔癌術後%同期脩複%頦下島狀皮瓣
구강암술후%동기수복%해하도상피판
after oral cancer surgery%repair at the same time%submental island flap
目的：观察颏下岛状皮瓣（SIF）同期修复口腔癌术后缺损的临床效果。方法回顾分析60例口腔癌术后缺损患者临床资料，将其按照治疗方法分为试验组和对照组，每组30例，试验组应用颏下岛状皮瓣进行术后缺损的修复，对照组应用前臂的桡侧皮瓣进行术后缺损的修复，对比2组的临床疗效。结果???试验组临床疗效有25例为优，4例为良，其优良率达到96.7%，而对照组20例为优，6例为良，其优良率仅86.7%，2组相较，无明显差异（P>0.05）。试验组平均手术时间为（45.72±7.64）min，对照组平均手术时间为（60.14±10.68）min，2组的差异有统计学意义（P<0.05）。试验组平均术中出血量为（23.33±4.13）mL，对照组平均出血量为（27.79±5.38）mL，2组的差异有统计学意义（P<0.05）；2组均未出现颈部的切口感染等相关临床并发症。结论口腔癌术后缺损应用SIF进行同期修复，不仅皮瓣的制备操作简单，而且手术用时也较短，术中出血量较少，患者取瓣伤口较隐蔽，皮瓣修复成活率高，效果显著。
目的：觀察頦下島狀皮瓣（SIF）同期脩複口腔癌術後缺損的臨床效果。方法迴顧分析60例口腔癌術後缺損患者臨床資料，將其按照治療方法分為試驗組和對照組，每組30例，試驗組應用頦下島狀皮瓣進行術後缺損的脩複，對照組應用前臂的橈側皮瓣進行術後缺損的脩複，對比2組的臨床療效。結果???試驗組臨床療效有25例為優，4例為良，其優良率達到96.7%，而對照組20例為優，6例為良，其優良率僅86.7%，2組相較，無明顯差異（P>0.05）。試驗組平均手術時間為（45.72±7.64）min，對照組平均手術時間為（60.14±10.68）min，2組的差異有統計學意義（P<0.05）。試驗組平均術中齣血量為（23.33±4.13）mL，對照組平均齣血量為（27.79±5.38）mL，2組的差異有統計學意義（P<0.05）；2組均未齣現頸部的切口感染等相關臨床併髮癥。結論口腔癌術後缺損應用SIF進行同期脩複，不僅皮瓣的製備操作簡單，而且手術用時也較短，術中齣血量較少，患者取瓣傷口較隱蔽，皮瓣脩複成活率高，效果顯著。
목적：관찰해하도상피판（SIF）동기수복구강암술후결손적림상효과。방법회고분석60례구강암술후결손환자림상자료，장기안조치료방법분위시험조화대조조，매조30례，시험조응용해하도상피판진행술후결손적수복，대조조응용전비적뇨측피판진행술후결손적수복，대비2조적림상료효。결과???시험조림상료효유25례위우，4례위량，기우량솔체도96.7%，이대조조20례위우，6례위량，기우량솔부86.7%，2조상교，무명현차이（P>0.05）。시험조평균수술시간위（45.72±7.64）min，대조조평균수술시간위（60.14±10.68）min，2조적차이유통계학의의（P<0.05）。시험조평균술중출혈량위（23.33±4.13）mL，대조조평균출혈량위（27.79±5.38）mL，2조적차이유통계학의의（P<0.05）；2조균미출현경부적절구감염등상관림상병발증。결론구강암술후결손응용SIF진행동기수복，불부피판적제비조작간단，이차수술용시야교단，술중출혈량교소，환자취판상구교은폐，피판수복성활솔고，효과현저。
Objective This study aimed to observe the clinical effects of submental island flap(SIF) for repairing oral defects after oral cancer surgery. Methods A retrospective analysis of 60 cases of postoperative oral cancer defects in patients with clinical data was performed. The experimental group and the control group were subjected to treatment(30 cases in each group). SIF was used to repair postoperative defects in the experimental group. By contrast, the defects of the control group were treated by using the radial forearm flap after surgery. A significant difference occurred between the two groups. Results The clinical efficacy of the 25 cases in the experimental group was excellent, and 4 cases were good. Approximately 96.7% of the cases in the experimental group achieved excellent and good ratings. In the control group, 20 cases were excellent, and6 cases were good. Approximately 86.7% of the cases in the control group achieved excellent and good ratings. Thus, the two groups had no significant difference(P>0.05). The mean operation time in the experimental group was (45.72±7.64) min. The mean operation time in the control group was (60.14±10.68) min. Thus, a statistically significant difference(P<0.05) was observed. The average bleeding volume was (23.33±4.13) mL, whereas the mean bleeding volume obtained from the control group was (27.79±5.38) mL. Therefore, a statistically significant difference(P<0.05) was exhibited between the two groups. The findings indicate that the two groups were not associated with the clinical complications of cervical incision. Conclusion The application of SIF for treatment of oral cancer postoperative defects is advantageous because it is a simple and minimally invasive procedure. In addition, using SIF provides short operation time, allows less amount of intraoperative bleeding, and conceals the wound caused by flap insertion.
