中国医药导刊
中國醫藥導刊
중국의약도간
CHINESE JOURNAL OF MEDICAL GUIDE
2013年
3期
396
,共1页
改良胸锁乳突肌皮瓣%修复%口腔颌面部肿瘤术后%组织缺损
改良胸鎖乳突肌皮瓣%脩複%口腔頜麵部腫瘤術後%組織缺損
개량흉쇄유돌기피판%수복%구강합면부종류술후%조직결손
Improved sternocleidomastoid dorsi flaps%Repair%Oral and maxillofacial tumors postoperative%Tissue defect
目的:观察改良胸锁乳突肌皮瓣同期修复口腔颌面部肿瘤术后组织缺损的临床效果.方法:选择2009~2010年期间在我院进行口腔颌面部肿瘤术后组织缺损修复的患者15例进行改良胸锁乳突肌皮瓣同期修复,观察效果.结果:所有患者手术之后皮瓣全部成活,仅有1例患者出现蒂部旷置敞开、未完全闭合,其余的29例患者面部组织缺损修复闭合状况良好.断蒂时间一般为2~3w,创口基本上均在I期愈合,术后开展随访3~6个月,发现患者的皮瓣质地感觉良好,部分有轻度臃肿,整体外观表现满意,无任何明显的面部功能性障碍.结论:改良胸锁乳突肌皮瓣同期修复口腔颌面部肿瘤术后组织缺损效果良好.
目的:觀察改良胸鎖乳突肌皮瓣同期脩複口腔頜麵部腫瘤術後組織缺損的臨床效果.方法:選擇2009~2010年期間在我院進行口腔頜麵部腫瘤術後組織缺損脩複的患者15例進行改良胸鎖乳突肌皮瓣同期脩複,觀察效果.結果:所有患者手術之後皮瓣全部成活,僅有1例患者齣現蒂部曠置敞開、未完全閉閤,其餘的29例患者麵部組織缺損脩複閉閤狀況良好.斷蒂時間一般為2~3w,創口基本上均在I期愈閤,術後開展隨訪3~6箇月,髮現患者的皮瓣質地感覺良好,部分有輕度臃腫,整體外觀錶現滿意,無任何明顯的麵部功能性障礙.結論:改良胸鎖乳突肌皮瓣同期脩複口腔頜麵部腫瘤術後組織缺損效果良好.
목적:관찰개량흉쇄유돌기피판동기수복구강합면부종류술후조직결손적림상효과.방법:선택2009~2010년기간재아원진행구강합면부종류술후조직결손수복적환자15례진행개량흉쇄유돌기피판동기수복,관찰효과.결과:소유환자수술지후피판전부성활,부유1례환자출현체부광치창개、미완전폐합,기여적29례환자면부조직결손수복폐합상황량호.단체시간일반위2~3w,창구기본상균재I기유합,술후개전수방3~6개월,발현환자적피판질지감각량호,부분유경도옹종,정체외관표현만의,무임하명현적면부공능성장애.결론:개량흉쇄유돌기피판동기수복구강합면부종류술후조직결손효과량호.
@@@@Objective:To observe the sternocleidomastoid improved the same period latissimus dorsi myocutaneous repair oral and maxillofacial tumor surgery the clinical effect of tissue defect; Methods:Selection during 2009 to 2010 in our hospital for oral and maxillofacial tumor tissue defect repair after 15 cases of patients with modified the same period the sternocleidomastoid latissimus dorsi myocutaneous repair, observing effect;Results:All flaps survived a minimum area of skin flap 1 cm x 2 cm, the most large area 3 cm x 4 cm, 1 case of the desert’s open, and not for the 29 cases of’s rolled into the tube, direct closed for area are closed directly. Flap’s broken time for 16 to 24 d, wound healing all stage I follow-up of 3~6 months, flap to its good quality, repair skin flap for mild bloated hand, appearance more satisfied, without obvious function obstacle. Conclusion:Modified the same period the sternocleidomastoid latissimus dorsi myocutaneous repair oral and maxillofacial tumors postoperative tissue defect effect is good.