带血管蒂游离组织瓣同期修复舌癌术后缺损及临床评价  

Instant Reconstruction of Tongue Defect with Vascularized Free Flap after Radical Tongue Cancer Resection and its Clinical Evaluation

作　　者：潘朝斌[1] 赵小朋[1] 李劲松[1] 王建广[1] 张彬[1] 

机构地区：[1]中山大学附属第二医院口腔颌面外科,广东广州510120

出　　处：《广东牙病防治》2006年第4期268-270,共3页Journal of Dental Prevention and Treatment

基　　金：广东省自然科学基金资助项目(04300248)

摘　　要：目的评价带血管蒂游离组织瓣修复舌鳞癌术后缺损的外形及功能恢复效果。方法32例舌癌患者进行根治术的同期,分别采用带血管蒂的前臂游离皮瓣、足背游离皮瓣进行修复,术后观察组织瓣成活情况,舌功能和外形,并评价表评价患者的语言和(或)吞咽等功能恢复情况。结果32例中,31例成活,成活率96.9%,术后观察见舌形态良好,语言、咀嚼、吞咽、进食等功能恢复至正常或接近正常。未发现复发及死亡病例。结论舌癌根治术同期选择带血管蒂游离组织瓣修复,可以较好地恢复舌的功能,并可能提高生存率。Objective To investigate the result of tongue reconstruction with vascularized free flap after radieal tongue squamots cell carcinoma（TSCC）resection.Methods In 32 cases of TSCC patients received radical tongue carinoma resection,tongue defccts were reconstructed with wascularized free forearm flap and free dorsal flap of foot simultanconsly,The growth of flaps and the function of reconstructed tongue were obscrved.Results Among 32 patents,31 flaps were alive,the survival rate of the flaps was 96.9%.The appearanee and the function of reconstrueled tonue were satisfactory.The function of chewing,swallowing recovered well,Conclusion Tongue reconstruction with vascularized free flap simltaneously after radieal tongue carcinnna resection could resume better function of the tongue and incerase the survival rate of the patients.

关 键 词：舌再造 舌肿瘤 口腔癌根冶术 游离组织瓣 显微外科技术 

分 类 号：R767.91[医药卫生—耳鼻咽喉科]