游离股前外侧穿支皮瓣修复上颌复合组织缺损的临床研究  

Clinical study of free anterolateral thigh perforator flap in repairing maxillary complex tissue defects

作　　者：张蕾[1] 张杰[2] 孟彦[1] 高太虎[1] Zhang Lei;Zhang Jie;Meng Yan;Gao Taihu(Department of Head and Neck Surgery 1,Shanxi Provincial Cancer Hospital,Taiyuan 030013,China;Department of Oral and Maxillofacial Surgery,Ward 3,Peking University Hospital of Stomatology,Beijing 100081,China)

机构地区：[1]山西省肿瘤医院头颈一科,太原030013 [2]北京大学口腔医院颌面外科三病区,100081

出　　处：《肿瘤研究与临床》2018年第11期753-756,共4页Cancer Research and Clinic

摘　　要：目的探讨游离股前外侧(ALT)穿支皮瓣修复上颌大面积复合组织缺损的效果。方法回顾性分析2013年1月至2016年10月北京大学口腔医院收治的应用ALT穿支皮瓣修复上颌骨缺损的51例患者临床资料。患者均为上颌恶性肿瘤切除同时进行ALT修复。结果51例患者中,4例术后并发血管危象。除2例出现皮瓣坏死摘除外,其余49例皮瓣全部成活,皮瓣成活率为96.08%(49/51)。术区功能与外形恢复较好。结论ALT穿支皮瓣修复上颌大面积复合组织缺损的效果较好,术区功能恢复良好,可避免面部畸形,有利于下一步治疗。Objective To explore the effect of free anterolateral thigh (ALT) perforator flap in the repairment of complex maxillary defects. Methods The clinical data of 51 patients undergoing the reconstruction of maxillary defects in ALT perforator flap between January 2013 and October 2016 in the Peking University Hospital of Stomatology were retrospectively analyzed. All the patients received ALT reconstruction during the maxillary tumor resection. Results Four patients had blood vessel crisis after surgery in 51 cases. Two cases were removed due to flap necrosis, and 49 cases survived with a satisfactory appearance and function, and the overall flap survival rate of 49 cases was 96.08 % (49/51). Conclusion ALT perforator flap provides an ideal reconstruction for complex maxillary defects with a well-restored function in the surgical ares which could avoid the facial asymmetry and contribute to the following treatment.

关 键 词：上颌肿瘤 修复外科手术 股前外侧皮瓣 上颌缺损 重建 

分 类 号：R739.8[医药卫生—肿瘤]