胸大肌肌皮瓣修复咽喉部恶性肿瘤术后组织缺损的临床分析  

Cfinical analysis of pectoralis major myocutaneous flap for reconstruction of tissue defects after pharyngo. laryngeal cancer surgery

作　　者：李建胜[1] 王萍平[1] 马健[1] 乔秀军[1] 潘新良[2] 

机构地区：[1]山东省日照市人民医院耳鼻咽喉科,276826 [2]山东大学齐鲁医院耳鼻咽喉科

出　　处：《中国医药》2012年第2期186-187,共2页China Medicine

摘　　要：目的探讨胸大肌肌皮瓣在咽喉部肿瘤手术中的应用方法及临床效果。方法23例咽喉部恶性肿瘤患者，用胸大肌肌皮瓣对术中组织缺损进行修复。结果23例患者中，肌皮瓣坏死1例，咽瘘4例，下咽食管狭窄1例；除1例因咽瘘颈部感染致颈部动脉破例死亡，1例下咽食管狭窄，带胃管出院外，其余患者均恢复吞咽功能。结论胸大肌肌皮瓣血供可靠，组织容量大，在咽喉部肿瘤手术中应用，可以提高患者存活率及术后生活质量。Objective To explore the methods and effects of pectoralis major myocutaneous flap in pharyngolaryngeal cancer surgery. Methods Twentythree cases of pharyngolmyngeal cancer patients were enrolled. The surgical procedure was decided on pathologic conditions. Meanwhile the surgical defects were repaired by pectoralis major myocutaneous flap. Results Flap necrosis occured in 1 case, pharyngeal fistula occured in 4 cases, 1 case had hypopharynx esophageal stenosis except for pharyngeal fistula in 1 patient with carotid artery rupture caused by infection exception dead. 1 case had hypopharynx esophageal stenosis with a gastric tube and was discharged. The remaining patients recovered with swallowing function. Conclusions The blood supply of pectoralis major myocuta neous flap is reliable and the tissue volume is enough for reconstruction. It can improve patient survival and postop erative quality of life in the application of pharyngolaryngeal cancer surgery.

关 键 词：胸肌 外科皮瓣 咽喉部肿瘤 修复 

分 类 号：R628[医药卫生—整形外科]