颊部恶性肿瘤切除后缺损部位修复情况临床分析  

Clinical analysis on defect repair after resection of lip malignant tumors

作　　者：郑松[1] 

机构地区：[1]福建省立医院口腔科,福建福州350001

出　　处：《中国现代医药杂志》2014年第3期45-47,共3页Modern Medicine Journal of China

摘　　要：目的：总结分析颊部恶性肿瘤切除后缺损部位修复情况。方法选取我院收治的120例颊部恶性肿瘤患者，按照缺损部位大小实施相应的修复手术，其中需要做移植皮瓣修复的患者（观察组）共64例，其余56例患者均采用将创缘松解直接拉拢缝合的修复方法（对照组）。分别对所有患者的年龄、性别、病种、缺损部位和修复类型，移植组织瓣危象的发生率及移植成功率进行分析和对比。结果观察组手术成功64例，发生术后危象2例（3.12%），抢救成功2例（100%）。对照组中6例颊部创口缝线反应，浅表糜烂，治疗后伤口延期愈合，疤痕较明显，3例创口边缘处浅层糜烂，治疗后愈合，不影响开口，外形好，2例感染坏死裂开，3例疤痕软化后行二期整复。术后随访6~12个月，观察组对修复后外观满意率为93.75%（60/64），高于对照组（62.5%，35/56），且没有出现并发症。术后患者恢复情况Ⅰ、Ⅱ级占比观察组（93.75%）远高于对照组（80.36%），差异有统计学意义（P＜0.05）。结论采用移植组织皮瓣修复治疗颊部恶性肿瘤切除后缺损部位效果好，患者对修复后的满意度较高，且并发症较少，值得临床推广应用。Objective To summarize the defect repair after resection of cheek malignant tumors in 120 cases. Meth-ods A total of 120 patients with cheek malignant tumors admitted to our hospital were selected as the subjects , who received corresponding repair surgery according to the size of defect, with 64 cases （observation group） receiving transplanted flap repair and other cases （control group） receiving direct suture. The data of patients＆#39; age, gender, disease, site of defect, repair type, incidence of transplanted flap crisi and transplantation success rate were collected , analyzed and compared. Results All the cases in the observation group received successful operation , 2 cases developed postoperative crisis （3.12%） and both of the 2 cases were rescued successfully （100%）. 6 cases in the control group developed suture reactions on the lip , showing superficial erosion, delayed healing after treatment and obvious scar; 3 cases of wound edges of the shallow erosions, which healed after treatment and didn’t affect opening mouth, and the upper and lower lips showed coordinate with and good appearance; 2 cases developed infection, necrosis and dehiscence; and 3 cases received second repair after scar softening. Postoperative follow-up was performed for 6~12 months. For patients in the observation group , their satisfaction rate with appearance after repair was 93.75% （60/64）, higher than the 62.5% of the control group （35/56）, and no complications were found in the observation group. The proportion of primary and secondary healing after operation was higher in the observation group （93.75%） than that in the control group （80.36%）, and the difference was statistically significant （P＆lt;0.05）. Conclusion Transplanted flap transplantation is effective in repairing the defects after resection of cheek malignant tumors , with higher satisfaction degree and less complications, thus is worthy of wide clinical application.

关 键 词：颊部 恶性肿瘤 缺损修复 

分 类 号：R739.8[医药卫生—肿瘤]