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目的评价口底癌术后缺损皮瓣修复的特点及临床效果。方法收集2006年1月至2009年12月第四军医大学口腔医院颌面外科收治的口底癌手术同期皮瓣修复缺损患者51例,观察评价皮瓣修复效果。结果术后近期,4例组织瓣坏死,28例出现不同程度并发症。术后6～24个月复查,大多患者口底伤口恢复良好,吞咽、进食无明显障碍。结论胸大肌肌皮瓣、前臂皮瓣、颈阔肌肌皮瓣和股前外侧肌皮瓣4种皮瓣能基本满足口底癌术后组织缺损修复重建需要,其中胸大肌肌皮瓣仍作为口底较大缺损者修复首选。
Objective To evaluate the characteristics and clinical effects of flap repair in oral floor cancer after operation. Methods From January 2006 to December 2009, Department of Oral and Maxillofacial Surgery, Fourth Military Medical University Stomatology Hospital, 51 patients with flap-repairing defect were collected. The flap repair effect was observed and evaluated. Results Immediately after operation, 4 cases of tissue flap necrosis, 28 cases of varying degrees of complications. 6 to 24 months after the review, most patients with a good mouth wound recovery, swallowing, eating no obvious obstacle. Conclusions Four kinds of flaps of pectoralis major myocutaneous flap, forearm flap, platysma myocutaneous flap and anterolateral myocutaneous flap can basically meet the need of tissue defect repair and reconstruction of mouth and mouth after operation. The pectoralis major myocutaneous flap Still as the mouth of the larger defect repair preferred.