CAJ | 학술논문

目的：分析颊部恶性肿瘤切除术后缺损部位利用游离股前外侧皮瓣修复的临床效果。方法：60例颊部恶性肿瘤手术患者分为2组，颊部缺损行股前外侧皮瓣移植修复32例（观察组），28例采用创缘松解直接拉拢缝合的修复方法（对照组）。分别所有患者术后并发症及满意度进行对比分析。结果：观察组手术成功32例，术后开口度均未受影响；对照组术后开口度有不同程度影响。经6～12个月随访，观察组对修复后外观满意率93．75％（30／32），高于对照组（60．71％，17／28），且没有出现并发症。术后患者恢复情况Ⅰ、Ⅱ级占比观察组为93．75％。远高于对照组的78．57％，差异有统计学意义（P＜0．05）。结论：采用移植组织皮瓣修复颊部恶性肿瘤切除术后的缺损临床效果好，患者对修复后的满意度高，且并发症较少。
목적：분석협부악성종류절제술후결손부위이용유리고전외측피판수복적림상효과。방법：60례협부악성종류수술환자분위2조，협부결손행고전외측피판이식수복32례（관찰조），28례채용창연송해직접랍롱봉합적수복방법（대조조）。분별소유환자술후병발증급만의도진행대비분석。결과：관찰조수술성공32례，술후개구도균미수영향；대조조술후개구도유불동정도영향。경6～12개월수방，관찰조대수복후외관만의솔93．75％（30／32），고우대조조（60．71％，17／28），차몰유출현병발증。술후환자회복정황Ⅰ、Ⅱ급점비관찰조위93．75％。원고우대조조적78．57％，차이유통계학의의（P＜0．05）。결론：채용이식조직피판수복협부악성종류절제술후적결손림상효과호，환자대수복후적만의도고，차병발증교소。
Objective:To evaluate effects of the free anterolateral thigh perforator flap and receiving direct suture on the repair of the reconstruction after buccal carcinomas resection in 120 cases. Method:Retrospective analysis was per-formed to 60 cases of buccal cancer who received free anterolateral thigh flap and direct suture for the defects after tumor re-section,from January 2011 to January 2014,with 32 cases (observation group) receiving transplanted flap repair and other cases (control group) receiving direct suture. The data of the transplantation success rate ,satisfaction degree and opening mouth degree were collected,analyzed and compared. Result:All the cases in the observation group received successful op-eration. Postoperative follow-up was performed for 6~12 months. For patients in the observation group ,their satisfaction rate with appearance after repair was 93.75%(30/32),higher than the 60.7%of the control group(17/28),and no complica-tions were found in the observation group. The proportion of primary and secondary healing after operation was higher in the observation group (93.75%) than that in the control group (78.57%),and the difference was statistically significant (P<0.05). Conclusion:The free anterolateral thigh perforator flap is an ideal flap for the reconstruction of defects after radical resection of buccal carcinomas,as it has many advantages such as:reliable blood supply,large available area,little influence on the donor site.