摘要
目的:比较应用部位肌皮瓣修补口腔肿瘤术后缺损的的临床效果,探讨舌骨下肌皮瓣的临床疗效与合适手术方法。方法:收集我院2000年6月年至2010年2月进行肌皮瓣修补口腔肿瘤术后缺损46例临床资料,进行回顾性分析。23例应用舌骨下肌皮瓣,作为试验照组,23例应用其他部位肌皮瓣(胸大肌肌皮瓣7例,腹直肌肌皮瓣4例,前臂肌皮瓣12例),作为对照组,比较两组的治疗效果。结果:实验组20例完整成活,2例移植失败,1例皮肤部分坏死,肌瓣存活,通过换药护理后转向愈合。对照组18例完全成活,4例移植失败,1例胸大肌肌皮瓣、2例前臂肌皮瓣部分坏死,后经换药转向愈合。结论:应用舌骨下肌皮瓣修补口腔肿瘤术后缺损确切可靠;在选择手术方法时,应倾向于顺行法修补;皮瓣对肌皮成活不可或缺,肌瓣对肌皮成活有辅助意义。
Objective：To study the clinical effect of infrahyoid muscle flap for repairing oral oncology postoperative defect.Method：46 cases with muscle flap defects repair was selected.23 cases repaired with infrahyoid muscle flap for the experimental group,23 cases with other parts of the muscle flap（7 cases of ectopectoralis flap;4 cases of rectus abdominis;12 cases of forearm muscles） for the control group,and compared the healing effect of two groups.Result：20 patients survived intact in experimental group,2 cases of graft failure,1 case of partial necrosis and turned to healing after dressing.18 patients survived intact in control group,4 cases of graft failure,1 case of ectopectoralis flap necrosis,2 cases of forearm muscles necrosis,and all turned to healing after dressing.Conclusion：Under the traditional application of infrahyoid muscle flap for repairing oral oncology postoperative defect were good;skin flap is essential to the survival of skin,muscle flap has secondary meaning of skin.
出处
《河北医学》
CAS
2011年第5期595-598,共4页
Hebei Medicine
关键词
舌骨下肌皮瓣修补
口腔肿瘤术后缺损
皮瓣移植
Infrahyoid muscle flap； Repair； Oral oncology postoperative defect； Flap transplantation；
