舌癌根治术后前臂转移游离皮瓣温度、颜色的观察  

Observation of Flap Temperature and Color after Forearm Free Skin Flap Transplantation in Patients with Tongue Carcinoma

作　　者：邹虹[1] 欧阳淑园[1] 彭郁林[1] 李丽[1] 夏帆[1] 

机构地区：[1]北京大学深圳医院五官科,广东深圳518000

出　　处：《口腔医学研究》2012年第1期83-85,共3页Journal of Oral Science Research

摘　　要：目的:探讨舌癌前臂游离皮瓣修复术后前3d皮瓣温度、颜色与皮瓣成活的关系。方法:运用半导体皮温计测量40例舌癌前臂游离皮瓣修复术后前3d皮瓣及残余舌组织的温度,计算其差值(△T),观察皮辩温度、颜色的变化与其成活的关系。通过不同的干预手段提高皮瓣温度,提高皮瓣成活率。结果:术后3d平均△T≤2℃的皮瓣中92.6%能在术后3d内恢复红润,经保温、抗凝等一系列措施干预后,全部皮瓣在术后7d内恢复红润;术后3d平均2℃<△T<3℃的皮瓣仅18.2%能在术后3d内恢复红润,经相关干预后全部皮瓣也均在术后7d内恢复红润;术后3d平均△T≥3℃的2例皮瓣在经过一些列相关护理后,1例在术后7d内恢复红润,另1例效果不佳,皮温过低,静脉栓塞时间过长坏死。3组间比较有统计学差异(P=0.000)。结论:术后3d皮瓣及残余舌组织的温度差与皮瓣成活存在一定关系。采用半导体皮肤测温仪与观察皮肤色泽相结合的方法准确率高、操作简单、发现血运障碍及时,是移植术后血运监测的良好手段。Objective： To determine the relationship of temperature and color difference in 3 days after forearm free skin flap transplantation in patients with tongue carcinoma. Methods： The temperature difference between free skin flap and normal tongue tissue（△T）were measured by semiconductor thermometer in 40 tongue carcinoma patients within 3 days after forearm free skin flap transplantation. The relationship between the temperature, color difference and flap survival was analyzed and various intervention measures were taken to increase the flap temperature. Resuits： In△T≤2℃ group with the number of 27, 92.6 %of them were survival within 3 days, the others were survival within 7 days by taking corresponding nursing. In2℃〈△T〈3℃ group with the number of 11, 18.2%of them were survival within 3 days, the others were survival within 7 days by taking corresponding nursing. Among the 2 patients in △T 〉3℃ group, one flap was survival and another flap was dead. Significant differences existed （P= 0. 000）. Conclusion： The skip survival is negatively correlated to the temperature difference between free skin flap and nomal tongue tissue. The measures is a good means to monitor blood supply.

关 键 词：舌癌 外科皮瓣 皮温 皮瓣颜色 

分 类 号：R739.86[医药卫生—肿瘤]