胸大肌肌皮瓣在头颈肿瘤术后组织缺损修复中的应用  

Application of pectoralis major myocutaneous flap to reconstruction of postoperative defect in head and neck tumor

作　　者：刘宏伟[1,2] 孙海波 李振东[2] 李树春[2] 

机构地区：[1]辽宁省中医药大学中西医结合临床医学系,辽宁沈阳110032 [2]辽宁省肿瘤医院头颈外科,辽宁沈阳110042

出　　处：《中国耳鼻咽喉颅底外科杂志》2013年第2期119-121,共3页Chinese Journal of Otorhinolaryngology-skull Base Surgery

摘　　要：目的总结胸大肌肌皮瓣在头颈肿瘤术后组织缺损修复中的应用。方法回顾性总结2 0 0 7年1月～2 0 1 0年1 2月收治的3 6例患者因头颈部肿瘤手术后巨大组织缺损应用胸大肌肌皮瓣进行修复的临床资料。结果 32例(88.9%)胸大肌肌皮瓣完全存活,4例(11.1%)胸大肌肌皮瓣远端部分坏死。经换药、口腔护理等对症支持治疗后愈合。结论胸大肌肌皮瓣是一种临床应用广泛的修复材料。它具有丰富的组织量和确切的血液供应,修复操作简单,易存活,适用于头颈部肿瘤扩大切除术后组织缺损的即刻修复。Objective To evaluate the efficiency of the pectoralis major myocutaneous flap （PMMF） for reconstruction of the defect after surgery of head and neck tumor. Methods Clinical data of 36 cases receiving PMMF transfers for the reconstruction of postoperative defects in head and neck tumors from Jan 2007 to Dec 2010 was analyzed retrospectively. Results Of all 36 cases, PMMF fully survived in 32 （ 88. 9 % ） , partial distant necrosis of the flaps occurred in 4 patients （ 11. 1% ） and cured with conservative management. Conclusions Pectoralis major myocutaneous flap is a functional and reliable choice for the reconstruction of postoperative defect in advanced head and neck tumor.

关 键 词：头颈肿瘤 胸大肌肌皮瓣 组织缺损 修复 

分 类 号：R739.91[医药卫生—肿瘤]