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本文对86例唇癌的有关致病因素,临床表现、治疗方法和唇缺损的立即整复等的经验体会作了回顾和小结。本组中唇癌大多为分化良好的鳞癌,下唇发生最多占69.8％(60/86),男多于女,约5:2,多见于老年,平均发病年龄为59.8岁。本组唇癌治疗以外科手术为主,切除肿瘤与立即修复大多同时进行,术中转移综合瓣修复尽可能利用残留口唇、对侧组织或邻近组织。并介绍了大型颊组织瓣滑形推移的整复方法,报告了典型病例。作者认为对癌灶切除术后唇缺损采用成形术立即整复有许多优点:(1)可缩短治疗时间;(2)便于护理;(3)缺损周围组织处于正常状态便于手术成形、延伸和转移修复,术后效果较好。
In this paper, 86 cases of lip cancer related to pathogenic factors, clinical manifestations, treatment and lip defect immediately experience the experience made a review and summary. Most of the lip cancer in this group is well-differentiated squamous cell carcinoma, the lower lip occurs up to 69.8% (60/86), more men than women, about 5: 2, more common in the elderly, the average age of onset was 59.8 years old. The main treatment of lip cancer surgery, resection of the tumor and immediate repair at the same time, intraoperative transfer of complex flap repair as much as possible the use of residual lip, contralateral tissue or adjacent tissue. The method of reconstructing the sliding of the large cheek flap was introduced, and typical cases were reported. The authors believe there are many advantages of using lipoplasty immediately after resection of lip defects: (1) shorten the treatment time; (2) ease of care; (3) normal tissue around the defect to facilitate surgical shaping, extension and transfer Repair, the effect is better.