腹直肌肌皮瓣修复口腔颌面部软组织缺损18例临床分析  

Clinical analysis of repairing soft tissue defects in oromaxillo-facial region with rectus abdominis musculocutaneous flaps in 18 Cases

作　　者：羊书勇[1] 郑维银[1] 李晨军[1] 李浩[1] 米增媛[1] 李焰[1] 张建设[1] 卢艳鹏[1] 

机构地区：[1]成都军区总医院附属口腔医院,成都610017

出　　处：《西南国防医药》2012年第2期149-150,共2页Medical Journal of National Defending Forces in Southwest China

摘　　要：目的总结腹直肌肌皮瓣用于口腔颌面部修复的经验,对腹直肌肌皮瓣的用途、应用方法、成败因素等加以分析和讨论。方法 2007年6月～2010年6月,应用腹直肌肌皮瓣修复口腔颌面部软组织缺损18例,其中男性11例,女性7例,年龄46～71岁,均为肿瘤切除造成的组织缺损,所有病例均为即刻修复。结果 18例游离组织瓣成活17例,修复成功率为94.4%。结论对于口腔颌面部肿瘤切除后形成的组织缺损,腹直肌肌皮瓣是进行修复的理想选择。Objective To summarize the experience of repairing soft tissue defects in the oromaxillo-facial region with rectus abdominis musculocutaneous（RAM）flaps,and to discuss the usage,application method of RAM flaps and factors of success or failure.Methods From June 2007 to June 2010,there were 18 cases receiving the reparation of soft tissue defects in the oromaxillo-facial region with RAM flaps,in which 11 cases were male and 7 ones were female with the age ranged from 46 to 71.The tissue defects were all caused by tumor resection,and all cases received the immediate reparation.Results The dissociation tissue flaps in 17 cases survived.The success rate of reparation was 94.4%.Conclusion RAM flap is a preferable choice for the reparation of tissue defects caused by tumor resection in the oromaxillo-facial region.

关 键 词：腹直肌肌皮瓣 软组织缺损 修复重建 口腔 颌面部 

分 类 号：R782.2[医药卫生—口腔医学]