CAJ | 학술논문

目的比较游离股前外侧皮瓣与游离前臂皮瓣对于恶性肿瘤切除术后颌面部组织缺损修复中的临床效果.方法收集行口咽部恶性肿瘤扩大切除及游离皮瓣修复的患者87例,其中46例采用前臂皮瓣修复(A组),41例采用股前外侧皮瓣修复者(B组);比较两组患者术前资料及术后的皮瓣存活率、言语及吞咽功能、供皮区并发症.结果两组皮瓣存活率差异无统计学意义(P>0.05).B组暂时性功能障碍比例为5%(2/41),显著低于A组.B组患者较A组患者满意度高.结论股前外侧皮瓣较前臂皮瓣能更好地降低术后供区功能障碍、感觉麻木及异常、瘢痕,患者更易接受.
목적비교유리고전외측피판여유리전비피판대우악성종류절제술후합면부조직결손수복중적림상효과.방법수집행구인부악성종류확대절제급유리피판수복적환자87례,기중46례채용전비피판수복(A조),41례채용고전외측피판수복자(B조);비교량조환자술전자료급술후적피판존활솔、언어급탄인공능、공피구병발증.결과량조피판존활솔차이무통계학의의(P>0.05).B조잠시성공능장애비례위5%(2/41),현저저우A조.B조환자교A조환자만의도고.결론고전외측피판교전비피판능경호지강저술후공구공능장애、감각마목급이상、반흔,환자경역접수.
Objective To compare intraoperative,postoperative and functional results of the radial forearm fasciocutaneous flap with the thinned anterolateral thigh cutaneous flap reconstruction for oral and orpharyngeal reconstruction. Methods 87 reconstructions were performed in patients submitted to surgery for oral and oropharyngeal carcinoma using,a radial forearm fasciocutaneous flap(A group,n=46)and anterolateral thigh cutaneous flap group(B group,n=41). Compare duration of operation,quality of life,survival rate,surgical complications,and speech and swallowing function of the two group. Result Functional results,at donor site,were less successful in the group A,with permanent forearm movement impairment in 15%(7/46)of cases;in the group B,only transitory gait impairment occurred in 5%(2/41)of patients. Patient satisfaction survey results showed that patients in the group B were more satisfied than group A. Conclusion Anterolateral thigh cutaneous flap is better than radial forearm fasciocutaneous flap for oral and orpharyngeal reconstruction.