游离前臂皮瓣、颊脂垫双重修复上颌缺损术后患者生存质量的评价  

The evaluation of life quality of patients with maxilla defect reconstructed using antebrachium flap and buccal fat pat

作　　者：李建成[1] 廖圣恺[1] 陈永峰[1] 吴志刚[1] 

机构地区：[1]蚌埠医学院第一附属医院口腔科,安徽蚌埠233004

出　　处：《蚌埠医学院学报》2012年第12期1421-1423,共3页Journal of Bengbu Medical College

基　　金：安徽省教育厅自然科学研究资助课题(KJ2009B022Z)

摘　　要：目的:评价游离前臂皮瓣、颊脂垫双重修复上颌缺损患者术后的生存质量。方法:选择因肿瘤而行上颌骨切除的20例患者为研究对象。根据手术修复方式,分为2组:手术重建组10例,术中即刻用游离前臂皮瓣、颊脂垫联合修复上颌缺损;赝体修复组10例,术后上颌缺损一年用赝体修复。采用华盛顿生存质量问卷,对2组患者进行术后生存质量评价。结果:上颌重建组在面容、疼痛、行动、娱乐、吞咽、咀嚼、语言、口腔卫生以及肩部功能障碍方面与赝体修复组差异均有统计学意义(P<0.01)。上颌重建组非常好3例,好7例;赝体修复组一般2例,差8例,2组差异有统计学意义(P<0.01)。结论:游离前臂皮瓣、颊脂垫双重修复上颌骨缺损能显著提高患者术后生存质量,是值得推广的手术方法之一。Objective：To evaluate the life quality of patients with maxilla defect reconstructed using antebrachium flap and buccal fat pat. Methods：Twenty patients with maxillectomy were investigated.According to the repair methods,patients were divided into two groups（10 cases each group）.The maxillary defects of surgical reconstruction group were reconstructed using antebrachium flap and buccal fat pat.The prosthesis group were repaired with the traditional prothesis at a year after maxillary defect.The life quality of two groups were assessed using University of Washington Head and Neck Questionaire（UW-QOL）. Results：There was statistical significance between the differences of the facial pain,recreation,swallowing,chewing,language,oral hygiene and shoulder dysfunction of two group（P0.01）.Very good for 3 cases and good for 7 cases in surgical reconstruction group and common for 2 cases and bad for 8 cases in the prosthesis group were found,and the difference between the two groups was statistically significant（P0.01）. Conclusions：Reconstructing maxilla defect using antebrachium flap and buccal fat pat can improve the life quality of patient,which is worth clinical spread application.

关 键 词：颌疾病 外科手术 上颌面部损伤 外科皮瓣 颊脂垫 生活质量 

分 类 号：R782.2[医药卫生—口腔医学]