胸大肌肌皮瓣修复口腔癌根治术后组织缺损  

PECTORALIS MAJOR MYOCUTANEOUS FLAP USED IN ORAL CANCER RECONSTRUCTION

作　　者：桂平[1] 张兵[1] 黄宇文[1] 林志立[1] 

机构地区：[1]广州市第一人民医院,广东广州510180

出　　处：《现代医院》2009年第8期40-41,共2页Modern Hospitals

摘　　要：目的探讨带蒂胸大肌肌皮瓣修复口腔癌根治术后大面积组织缺损的临床效果。方法对11例中晚期口腔癌,其中舌癌6例、口底癌2例、颊癌2例、下牙龈癌1例,进行联合根治术,同期采用胸大肌肌皮瓣修复术后口腔颌面部组织缺损。结果11例中8例肌皮瓣全部成活,外形及功能恢复良好。另3例肌皮瓣部分坏死,换药后痊愈。随访1～9年无局部复发,2例舌癌患者术后2年死于肺转移。结论带蒂胸大肌肌皮瓣血供丰富组织量大,同期修复中晚期口腔癌根治术后大面积组织缺损安全可靠,疗效满意。Objective To study the clinical effect of repairing of large defect caused by radical surgery of oral cancer with the peetoralis major myoeutaneous flap. Methods 11 cases, including six carcinomas of tongue, two carcinomas of the floor of mouth, two carcinomas of cheek and one mandibular gingivai carcinoma, were treated with radical surgery. At the same time, the large tissue defects were repaired with peetordlis major myoctutaneous flaps. Results 8 flaps survived and satisfied with function and appearance. The part tissue of flap necroses in 3 cases, and cured after changing the dressing in time. There was no local recurrence in 1 ~ 9 years follow - up, two patients with carcinoma of tongue died of pulmonary metastasisin two yeas after operation. Conclusion Pectoralis major myocutaneous flap is safe reliable and effective to repair the large tissue defect after the radical surgery of advanced oral cancer for its abundant blood supply and sufficient tissue.

关 键 词：胸大肌肌皮瓣 口腔癌 修复 缺损 

分 类 号：R782.2[医药卫生—口腔医学] R622.1[医药卫生—临床医学]