首页|颏下岛状皮瓣和游离前臂皮瓣对口腔癌术后软组织缺损的修复效果比较

颏下岛状皮瓣和游离前臂皮瓣对口腔癌术后软组织缺损的修复效果比较

扫码查看
目的 对比颏下岛状皮瓣和游离前臂皮瓣对口腔癌术后软组织缺损的修复效果.方法 选取 80 例口腔癌术后软组织缺损患者,根据修复方法不同分为对照组(游离前臂皮瓣)和观察组(颏下岛状皮瓣)各 40 例.比较两组患者的围术期指标、咀嚼效率及并发症发生情况.结果 两组的皮瓣成活率比较无统计学差异(P>0.05);观察组手术时间、术后住院时间短于对照组,术中出血量少于对照组(P<0.05).修复后 6 个月,两组的咀嚼效率均升高,但两组的咀嚼效率比较无统计学差异(P>0.05);观察组并发症发生率为 10.00%,低于对照组的 32.50%(P<0.05).结论 颏下岛状皮瓣和游离前臂皮瓣修复均可有效改善口腔癌术后软组织缺损患者的咀嚼效率;但与游离前臂皮瓣修复相比,颏下岛状皮瓣修复术中出血量相对较少,患者术后恢复更快,且并发症发生率更低.
Comparison on the Repair Effect of Submental Island Flap and Free Forearm Flap on the Soft Tissue Defects after Oral Cancer Surgery
Objective To compare the repair effects of submental island flap and free forearm flap on the soft tissue defects after oral cancer surgery.Methods 80 patients with soft tissue defects after oral cancer surgery were divided into control group(40 cases,free forearm flap)and observation group(40 cases,submental island flap)according to different repair methods.The perioperative indicators,chewing efficiency and complications were compared between the two groups.Results No statistical difference was found in the survival rate of flaps between the two groups(P>0.05);The surgical time and postoperative hospitalization time of the observation group were shorter than those of the control group,and the intraoperative bleeding was less than that of the control group(P<0.05).6 months after repair,the masticatory efficiency of both groups increased,and no statistical difference was found in the masticatory efficiency between the two groups(P>0.05).The incidence of complications in the observation group was 10.00%,lower than 32.50%in the control group(P<0.05).Conclusions For patients with soft tissue defects after oral cancer surgery,both submental island flap and free forearm flap can effectively improve the chewing efficiency.However,compared with free forearm flap repair,submental island flap repair has relatively less intraoperative blood loss,faster postoperative recovery and lower incidence of complications.

Oral cancerSoft tissue defectFree forearm flap repairSubmental island flap repair

卢泰青、张炜、施鹏伟

展开 >

郑州大学第一附属医院口腔外科,河南郑州 450052

口腔癌 软组织缺损 游离前臂皮瓣修复 颏下岛状皮瓣修复

河南省医学科技攻关计划联合共建项目

LHGJ20190189

2024

临床医学工程
国家医疗保健器具工程技术研究中心

临床医学工程

影响因子:0.193
ISSN:1674-4659
年,卷(期):2024.31(1)
  • 6