舌癌术后前臂皮瓣舌再造30例临床分析  

Clinical analysis of 30 cases of forearm flap reconstruction in tongue cancer postoperative tongue

作　　者：刘运岭[1] 

机构地区：[1]商丘市第一人民医院口腔科,河南省商丘476000

出　　处：《中国基层医药》2013年第14期2107-2109,共3页Chinese Journal of Primary Medicine and Pharmacy

摘　　要：目的探讨舌癌患者手术后采用前臂皮瓣进行舌再造的临床效果。方法选取舌癌手术后患者60例，进行舌再造时采用游离前臂皮瓣（前臂组）30例和胸大肌皮瓣（胸大肌组）30例，观察两组舌再造的皮瓣成活和愈合情况、语音功能恢复和舌形满意程度、重建后并发症以及生活质量等情况。结果前臂组皮瓣成活率和愈合率均明显高于胸大肌组（93．33％与70．00％，96．67％与70．00％，均P〈0．05）。前臂组23例语音功能恢复多于胸大肌组的15例，患者对舌体外形满意度也明显好于胸大肌组（96．67％与66．67％，均P〈0．05）。前臂组手术后并发症发生率明显少于胸大肌组（13．33％与36．37％，P〈0．05），生活质量评分高于胸大肌组[（981．00±10．47）分与（902．00±22．54）分，P〈0．05]。结论舌癌患者手术后采用前臂皮瓣进行舌再造，具有成活率高和愈合情况理想，语音功能恢复程度好，患者对舌体外形满意度高以及并发症较少等优势，对提高患者手术后的生活质量有积极的意义。Objective To explore the clinical effect of tongue cancer patients after surgery with radial fore- arm flap in tongue reconstruction. Methods 60 tongue cancer patients after surgery were selected and randomly di- vided into the pectoralis major latissimus dorsi myocutaneous flap group and free forearm group,30 patients in each group. The tongue flap survival and healing, voice function recovery, lingual satisfaction, reconstruction complications and the quality of life, etc were observed. Results The survival rate and healing rate of flap in the forearm flap group were significantly higher than those of latissimus dorsi myocutaneous breast patients （93.33% vs 70.00% ,96.60% vs 70.00%, all P 〈 0.05 ）. Forearm patients speech function recovery and tongue body shape satisfaction were siguifi cantlybetterthanthepectoralismajormusclegroups （ 96.67 % vs 66.67 % , P 〈 0.05 ） . After surgery , thecomplica tions of forearm group was less than pectoralis major group （ 13.33% vs 36.37% ,P 〈0.05）. Quality of life score of forearm group was significantly higher than the pectoralis major group [ （981. 00±10.47）points vs （902. 00± 22. 54） points, （ P 〈0. 05 ） ]. Conclusion In patients with tongue cancer after surgery with radial forearm flap in tongue reconstruction, the advantages are ideal survival rate and healing situation, good voice function recovery degree, high tongue body shape satisfaction and less complications, and has the positive influence to the patients quality of life after surgery.

关 键 词：舌肿瘤 口腔外科手术 修复外科手术-外科皮瓣 

分 类 号：R473.73[医药卫生—护理学]