口腔癌根治术后经游离皮瓣修复口腔缺损的感觉恢复效果探讨  

An Investigation about the Sensory Recovery Process of Free Flap Repairing Oral Defects after Ablative Surgery

作　　者：张杰 孟箭 庄乾伟 李志萍 

机构地区：[1]徐州市中心医院.东南大学医学院附属徐州医院口腔科,江苏徐州221009

出　　处：《口腔颌面外科杂志》2016年第3期187-189,共3页Journal of Oral and Maxillofacial Surgery

基　　金：徐州市社会发展科技计划(KC14SH021)

摘　　要：目的 :考察游离皮瓣修复口腔癌术后口腔缺损的感觉恢复情况。方法 :回顾我院13例经游离皮瓣修复口腔缺损的口腔癌患者,按照其皮瓣位置分为A组(游离前臂皮瓣)及B组(游离腓骨肌皮瓣),对其术后6个月和12个月时修复区的感觉恢复情况进行评价。结果:6个月时,12例患者的感觉功能开始恢复,且以触觉和痛觉最先恢复。所有患者12个月时的感觉恢复程度均优于6个月时,表明皮瓣修复区的感觉恢复至少需6个月以上的时间。结论:游离前臂皮瓣、游离腓骨肌皮瓣对患者感觉功能的恢复作用相仿,均能够有效改善患者生存质量。Objective： To investigate the sensory recovery process of free flap in the oral defects of oral cancer patients after ablative surgery. Methods： 13 cases of oral cancer patients with free flap repaired the oral defects after radical surgery were retrospectively reviewed. They were divided into group A （free forearm flap） and group B （free fibula flap）, ac-cording to the location of the flap, the sensory recovery were evaluated in 6-month and 12-month postoperatively. Results：In the postoperative 6-month period, the sensory function of 12 patients began to appear , the tactile sensation and pain sensation were the first to recover. In the 12-month period, the sensory intensity was better than in the 6-month period. Conclusion：The free forearm flap, free fibula flap can both effectively improve the life quality of patients, which can nor-malizing the sensory function similarly.

关 键 词：游离皮瓣 口腔缺损 感觉恢复 

分 类 号：R739.8[医药卫生—肿瘤]