摘要
目的:探讨股前外侧皮瓣移植在口腔颌面部恶性肿瘤切除术后组织缺损患者中的应用效果及并发症情况。方法:选取2015年10月-2019年10月笔者医院收治的62例口腔颌面部恶性肿瘤患者。根据随机数字法分为对照组和观察组,每组31例。两组均行手术切除,术后均行口腔颌面部组织缺损修复。对照组应用前臂皮瓣进行治疗,观察组应用股前外侧皮瓣进行治疗。术后随访6个月,记录两组治疗效果、受区并发症情况、随访情况及满意度。结果:观察组与对照组总有效率比较,差异无统计学意义(P>0.05)。观察组并发症总发生率3.23%,低于对照组的19.35%(P<0.05)。随访期间,观察组异常情况总发生率0.00%,低于对照组异常情况总发生率12.90%(P<0.05)。观察组总满意度93.55%,高于对照组的74.19%(P<0.05)。结论:股前外侧皮瓣移植对口腔颌面部恶性肿瘤切除术后组织缺损患者具有良好的修复效果,可减少并发症,改善预后及满意度,值得临床推广应用。
Objective To investigate the application effect and complications of anterolateral thigh flap transplantation in patients with tissue defects after oral and maxillofacial malignant tumors resection.Methods Total of 62 patients with oral and maxillofacial malignant tumors in our hospital from October 2015 to October 2019 were selected.According to the random number method,the patients were divided into the control group(n=31)and the observation group(n=31).Both groups were treated with surgical resection,and the oral and maxillofacial tissue defects were repaired postoperatively.The control group was treated with forearm flap transplantation,and the observation group was treated with anterolateral thigh flap transplantation.All the patients were followed up for 6 months postoperatively,the treatment effect,the incidence of complications in the recipient area,the conditions during follow-up period and the satisfaction of the two groups of patients were recorded.Results There was no significant difference in the total effective rate between the observation group and the control group(P>0.05).The total incidence of complications in the observation group(3.23%)was significantly lower than that in the control group(19.35%),and the differences was statistically significant(P<0.05).During the follow-up period,the total incidence of abnormal conditions in the observation group(0.00%)was significantly lower than that in the control group(12.90%),and the differences was statistically significant(P<0.05).The total satisfaction of the observation group(93.55%)was significantly higher than that in the control group(74.19%),and the differences was statistically significant(P<0.05).Conclusion Anterolateral thigh flap transplantation has a good repair effect in patients with tissue defects after oral and maxillofacial malignant tumors resection,which can reduce the incidence of complications,improve the prognosis,and increase the satisfaction of patients,it is worthy of vigorous promotion and application.
作者
廖宗生
巫家晓
毛远科
刘卿
邹高健
于慧珍
LIAO Zong-sheng;WU Jia-xiao;MAO Yuan-ke;LIU Qing;ZOU Gao-jian;YU Hui-zhen(Department of Stomatology,Hezhou People's Hospital,Hezhou 542899,Guangxi,China;Department of Maxillofacial Surgery,Affiliated Hospital of Stomatology,Guangxi Medical University,Nanning 530000,Guangxi,China)
出处
《中国美容医学》
CAS
2021年第6期151-154,共4页
Chinese Journal of Aesthetic Medicine
关键词
口腔颌面部恶性肿瘤
组织缺损
股前外侧皮瓣
前臂皮瓣
并发症
oral and maxillofacial malignant tumors
tissue defects
anterolateral thigh flap
forearm flap
complications
