胸大肌和前臂皮瓣移植修复口腔癌术后软组织缺损的应用  

Application of pectoralis major and forearm flap transplantation to repair the soft tissue defects after operation from excision of oral cancer

作　　者：程祥永[1] 张兰[1] 

机构地区：[1]山东省临沂市沂水中心医院,276400

出　　处：《中国实用医刊》2016年第21期78-79,共2页Chinese Journal of Practical Medicine

摘　　要：目的探讨胸大肌和前臂皮瓣移植修复口腔癌术后软组织缺损的应用效果。方法选取2002年3月至2013年3月口腔癌患者72例，将患者分为两组，每组36例。胸大肌皮瓣组采用胸大肌肌皮瓣移植修复术后缺损，前臂皮瓣组采用前臂游离皮瓣移植修复口腔癌术后缺损。比较两组修复效果及手术指标。结果胸大肌皮瓣组优良率为83．3％（30／36），低于前臂游离皮瓣组的94．4％（34／36），但差异未见统计学意义（P〉0．05）。胸大肌皮瓣组患者的手术时间短于前臂皮瓣组[（49．2±8．3）min比（61．9±7．7）min]，术中出血量高于前臂游离皮瓣组[（28．2±3．5）ml比（24．6±4．2）m1]，差异均有统计学意义（P〈0．05）。结论胸大肌肌皮瓣移植手术时间较短，而前臂游离皮瓣患者的出血量较少且更为美观，可根据患者具体情况选择皮瓣供区。Objective To investigate the efficacy of pectoralis major and forearm flap transplan- tation to repair the soft tissue defects after operation of oral cancer. Methods From March 2002 to March 2013, 72 patients with oral cancer were selected, and were divided into the two groups, with 36 cases in each group. Pectoralis flap group was transplanted with pectoralis major myocutaneous flap, while forearm flap group was given free forearm flap. Repairing effect and operation index of the two groups were compared. Results The fine rate of the pectoralis flap group was 83.3% （30/36） , it was lower than that of the forearm flap group [ 94.4% （ 34/36 ） 1, the difference was not significant （ P 〉 0. 05 ）. The operative time in the peetoralis flap group [ （49.2± 8.3 ） min] was shorter than that in the forearm flap group [ （61.9±7.7） mini, but the bleeding volum in the peetoralis flap group[ （28.2 ± 3.5 ） ml ] was more than that in the forearm flap group [ （ 24.6±4. 2 ） ml ], the differences were signifi- cant （ P 〈 0.05 ）. Conlusions The operative time in the pectoralis flap group is faster, and the bleeding volum of forearm flap group is less, the clinical treatment process should be selected according to the ac- tual circumstances of the patients.

关 键 词：皮瓣移植 口腔癌 修复 

分 类 号：R739.8[医药卫生—肿瘤]