带蒂胸大肌肌皮瓣移植在头颈癌放疗后手术中的运用  

Pedicled pectoralis major muscle flap surgery in the head and neck cancer after radiotherapy

作　　者：秦涛[1] 周顶斌[1] 缪爱林[1] 

机构地区：[1]江苏省常州市肿瘤医院头颈外科,江苏常州213001

出　　处：《现代肿瘤医学》2007年第12期1764-1766,共3页Journal of Modern Oncology

摘　　要：目的:探讨头颈癌放疗后因肿瘤复发进行挽救性手术,带蒂胸大肌肌皮瓣修复手术切除后软组织缺损的可行性和价值。方法:7例头颈部恶性肿瘤进行了根治性放疗后局部复发或颈淋巴结转移,通过手术切除病灶,颈淋巴结清扫,同侧带蒂胸大肌肌皮瓣移植修复软组织缺损创面。结果:7例移植的带蒂胸大肌肌皮瓣全部成活,有2例出现切口裂开,愈合困难。结论:在头颈癌放疗后手术中,带蒂胸大肌肌皮瓣移植是修复手术切除后软组织缺损的有效方法。Objective： To investigate the effect of pedicled pectoralis major muscle flap surgery was performed on the tumor recurrence after radiotherapy for head and neck cancer salvage surgery. Methods ： Seven patients with malignancies of the head and neck after radiotherapy for cervical lymph node metastases or local recurrence were treated by surgical excision of the lesion and neck dissection, the ipsilateral pedicled pectoralis major muscle flap soft tissue wounds. Results： All seven cases of pedicled pectoralis major muscle transplants survived, two cases of dehiscence incision healing difficulties. Conclusion： After radiotherapy of head and neck cancer surgery, pedicled pectoralis major muscle flap is effectve for surgical excision repair of soft tissue defects .

关 键 词：头颈癌 放射治疗 带蒂胸大肌肌皮瓣 

分 类 号：R739.91[医药卫生—肿瘤]