应用带蒂胸大肌皮瓣修复口腔癌术后组织缺损  

Pedicled pectoralis major muscle flap after oral cancer tissue defects

作　　者：于浩[1] 邱澄宇[1] 孙智辉[1] 徐仲秋[2] 郭皓[2] 刘冰华[2] 

机构地区：[1]黑龙江省齐齐哈尔市第一医院口腔科,161000 [2]齐齐哈尔医学院,黑龙江161000

出　　处：《齐齐哈尔医学院学报》2015年第16期2377-2379,共3页Journal of Qiqihar Medical University

基　　金：齐齐哈尔市科学技术计划项目(SFZD-2012100)

摘　　要：目的：探讨应用带蒂胸大肌皮瓣修复口腔癌术后组织缺损的临床效果。方法2010年5月至2013年12月应用带蒂胸大肌皮瓣修复口腔癌术后组织缺损13例，均为男性，年龄51～59岁，病理分型：高分化鳞癌3例，中分化鳞癌10例。结果13例带蒂胸大肌皮瓣均成活，全部病例胸部供皮区均一期愈合。所有患者舌部、下颌骨、口底缺损修复形态良好，患者吞咽功能、咀嚼、语音功能恢复良好，术前术后对比，未见明显面部畸形，术后随访1～3年，1例患者术后1年出现肺感染死亡，其余患者未见转移和复发。结论带蒂胸大肌皮瓣组织量丰富，适用于口腔颌面部癌术后组织缺损修复及器官功能恢复。Objective To discuss the pedicled pectoralis major muscle flap after oral cancer tissue defects clinical effect.Methods May, 2010-December, 2013, pedicled pectoralis major muscle flap after oral cancer tissue defects , 13 cases were male , aged 51 ~59 years old, pathological type： three cases of well-differentiated squamous cell carcinoma , squamous cell differentiation 10 cases.Results 13 cases of pedicled pectoralis major flaps survived, in all cases the chest donor site healed .All patients tongue, mandible, floor of the mouth good shape defects , patients with swallowing , chewing , speech function recovered well after surgery preoperative contrast , no significant facial deformity , after 1~3 years of follow-up, 1 patient surgery pulmonary infection after a year of death , and the remaining patients no metastasis and recurrence .Conclusions Pedicled pectoralis major flap tissue-rich, suitable for oral and maxillofacial surgery cancer tissue defect repair and restore organ function .

关 键 词：带蒂胸大肌皮瓣 口腔癌 软组织缺损 

分 类 号：R739.81[医药卫生—肿瘤]