延长下斜方肌肌皮瓣修复颅底缺损  

Reconstruction of the skull base defect with lower trapezius musculocutaneous flap

作　　者：李平栋[1] 房居高[1] 于振坤[1] 廉猛[1] 马泓智[1] 陈晓红[1] 黄志刚[1] 邱锷[2] 傅基第[2] 

机构地区：[1]首都医科大学附属北京同仁医院耳鼻咽喉头颈外科,北京市耳鼻咽喉科研究所,教育部耳鼻咽喉头颈外科重点实验室,北京100730 [2]首都医科大学附属北京同仁医院神经颅底外科,北京100730

出　　处：《首都医科大学学报》2011年第6期750-753,共4页Journal of Capital Medical University

摘　　要：目的观察延长下斜方肌肌皮瓣修复颅底缺损的效果。方法 11例颅底肿瘤切除后的缺损患者,其中男性9例,女性2例。恶性肿瘤9例,良性肿瘤2例,修复均与手术同期完成。结果 7例患者Ⅰ期愈合,3例皮瓣远端部分坏死,1例切口裂开。恶性肿瘤患者的1年生存率为100%,2年生存率为67%。以上术式功能修复效果好,修复局部有不同程度的塌陷畸形,外形效果一般。结论延长下斜方肌肌皮瓣术式可用于颅底肿瘤切除后缺损的Ⅰ期修复,功能效果好,外形效果一般。Objective To observe the clinical outcomes of the reconstruction of the skull base defect with the lower trapezius musculocutaneous flap. Methods Eleven patients with skull base tumors,including 9 males and 2 females,were enrolled into this study.Among them,nine patients had malignant tumors and 2 had benign ones.The reconstructions were performed in the same stage while the tumors were resected. Results The first-stage healing was found in 7 patients.Second-stage healing occurred in 4 patients,among whom 3 patients had skin necrosis in distant part of the flaps and 1 wound dehiscence.All patients had satisfied functional results.The 1-year survival rate was 100% and 2-year survival rate was 67%. Conclusion The lower trapezius musculocutaneous flap is a useful local pedal flap in skull base reconstruction.The functional results were satisfying.

关 键 词：颅底外科 重建 下斜方肌肌皮瓣 

分 类 号：R61[医药卫生—外科学]