应用游离组织瓣同期修复舌癌切除后缺损  

The application of free tissue flap in simultaneous reconstruction of defects after tongue cancer resection

作　　者：史也[1] 张韬[1] 陈永宁[1] 赵继志[1] 余立江[1] 石钿印[1] 马超[1] 

机构地区：[1]北京协和医院口腔科,北京100730

出　　处：《中华整形外科杂志》2013年第5期325-328,共4页Chinese Journal of Plastic Surgery

基　　金：十二五国家科技支撑计划课题（2012BAI12B00）

摘　　要：目的 探讨应用游离皮瓣行舌癌根治性切除后同期舌再造的可行性.方法 根据缺损大小不同分别对47例舌癌患者,应用前臂皮瓣和股前外侧皮瓣即时修复舌癌根治性切除后的舌缺损.术后随访3个月至9年,并对患者修复后的功能进行评价.结果 47例皮瓣中仅1例失败,其余均成活,成活率97.7％.术后36例随访患者均可进行基本正常的语言交流和进食,其中34例语音清晰,2例不清晰；31例可进普食,4例进软食,1例进流食.结论 应用游离皮瓣修复舌癌根治性切除后的舌缺损,方法可靠且成功率较高.根据缺损范围选择适合的修复方式是获得较理想的舌形态和功能的关键.Objective To discuss the feasibility of using free tissue flap for simultaneous tongue reconstruction after tongue cancer resection.Method Radial forearm flaps and anterolateral thigh flaps were used for simultaneous reconstruction of different defects after tongue cancer resection in 47 cases.The functional evaluation was assessed during the follow-up period of 3 months to 9 years.Results Only one flap failed,giving a success rate of 97.7％.The 36 patient available for postoperative follow-up were all able to communicate in basic languages and eat normally.Among them,normal speech was found in 34,while slurred speech was found in two.31 patients could eat normal diet,while eight could eat soft diet and two could eat liquid diet.Conclusions Simultaneous tongue reconstruction with free tissue flap is a reliable method with high successful rate.Flaps selection based on different tongue defects is the key point to achieve good functional and cosmetic results for the reconstruction tongue.

关 键 词：游离皮瓣 舌肿瘤 同期修复 

分 类 号：R739.8[医药卫生—肿瘤]