分析游离上臂外侧皮瓣对口腔颌面部软组织缺损修复治疗的价值  

Analysis of the value of lateral arm free flap for the oral and maxillofacial soft tissue defect repair therapy

作　　者：张善林 

机构地区：[1]河南省确山县71262部队医院外科

出　　处：《全科口腔医学电子杂志》2014年第11期18-19,共2页Electronic Journal of General Stomatology

摘　　要：目的：探析游离上臂外侧皮瓣修复在口腔颌面部软组织缺损治疗中应用价值。方法选择我院2012年3月-2014年10月所收治64例口腔颌面部软组织缺损患者作为研究对象，分为观察组和对照组，各32例。对照组采用传统前臂皮瓣进行修复，观察组采用游离上臂外侧皮瓣修复，比较两组皮瓣成活率及并发症发生率。结果观察组皮瓣成活率为100.0%，与对照组比较，差异无统计学意义（P＞0.05）；观察组并发症发生率为6.2%，1例颌下伤口积液、1例肘关节屈曲受限，明显低于对照组，差异有统计学意义（P＜0.05）。结论与传统前臂皮瓣修复相比，应用游离上臂外侧皮瓣对口腔颌面部软组织缺损患者进行修复的并发症发生率更低，安全可靠，术后瘢痕较小，临床价值显著。Objective Probe into the application value of lateral arm free flap to repair in the treatment of oral and maxillofacial soft tissue defects. Methods In our hospital in 2012 March to 2014 year in October treated 64 cases of oral and maxillofacial soft tissuedefect patients as the research object, and divided into two groups. The control group used traditionalforearm flap, the observation group with lateral arm free flap for repairing, compared two groups of flap survival rate and complication rate. Results The observation group flap survival rate was 100%, compared with the control group no significant difference（P〉0.05）;complication rate of observation group was 6.2%, 1 cases of jaw wound effusion, 1 cases of elbowflexion restriction, significantly lower than the control group, the difference was statistically significant （P〈0.05）. Conclusion Compared with the traditional radial forearm flap to repair, application of free lateral arm flap in patients withoral and maxillofacial soft tissue defects were repaired with lower complication rate, safety, less postoperative scar, significantly clinical value.

关 键 词：游离上臂外侧皮瓣 口腔颌面部软组织缺损 修复治疗价值 

分 类 号：R782.2[医药卫生—口腔医学]