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目的:探讨唇癌术后缺损的修复方法,并对术后唇形态、功能进行疗效评价。方法:对手术方式为直接拉拢缝合、Abbe-estlander瓣、Bernard瓣及扇形颊瓣转移法修复唇缺损的21例患者进行病例资料回顾性研究,并对其修复效果进行评估。结果:21例患者术后皮瓣均存活,唇外形明显改善。术后随访2年,未见复发和转移,并且随着时间的推移,唇形态功能及患者自我评价的评分值均逐渐增高。结论:唇部缺损的修复方法应依据缺损的病因、大小、范围、皮瓣的特点、术者的技能以及患者的需求等来选择。
Objective: To investigate the method of repair of lip cancer postoperative defect and to evaluate the effect of postoperative lip shape and function. Methods: A retrospective study was performed on 21 cases of lip defect repaired by Abs-estlander flap, Bernard flap and fan cheek flap transfer, and the repair effect was evaluated. Results: Twenty-one patients survived, and their lip appearance improved significantly. All the patients were followed up for 2 years. No recurrence and metastasis were observed. With the passage of time, the scores of lip morphology and patient self-evaluation were gradually increased. Conclusion: The method of repair of lip defect should be based on the etiology, size, scope of the defect, the characteristics of the flap, the skill of the surgeon and the needs of the patient.