采用口轮匝肌蒂岛状口腔黏膜瓣修复红唇缺损的效果观察  

Observation of effect of red lip defect repair using orbicularis oris muscles pedicle island flap disc

作　　者：胡勤妮[1] 刘伟东[1] 闫俊杰[1] 

机构地区：[1]丽水市人民医院口腔科,浙江省丽水323000

出　　处：《中国基层医药》2017年第10期1528-1531,共4页Chinese Journal of Primary Medicine and Pharmacy

摘　　要：目的 探讨采用口轮匝肌蒂岛状口腔黏膜瓣修复红唇缺损的治疗效果.方法 选取100例单侧单纯红唇缺损1/3～2/3、唇线完整的患者作为研究对象,按照随机数字表法分成两组,每组50例,甲组采取清创手术进行修复治疗,乙组采取红唇瓣推进修复治疗方案,对比两组患者的治疗效果、满意度、唇瓣存活率以及手术瘢痕的明显程度.结果 两组患者手术效果均较好;术后甲组与乙组患者对唇部外形治疗满意度分别为94.00%与96.00%,差异无统计学意义（P〉0.05）;两组患者的唇瓣全部均存活,甲组患者有1例瘢痕明显,乙组患者瘢痕均不明显.结论 对于红唇缺损患者来说,采取口轮匝肌蒂岛状口腔黏膜瓣与红唇瓣推进修复进行治疗均可获得较为显著的临床疗效,具有操作简便、对患者面部形态影响较小等优势,值得临床推广.Objective To explore the effect of red lip defect repair using orbicularis oris muscles pedicle island flap disc.Methods 100 cases of unilateral pure red lip defect 1/3-2/3,lip lines full of patients were selected as the research subjects.They were randomly divided into two groups,50 cases in each group.Group A treated with debridement surgery to repair.Group B received red lip flap to promote repair treatment.The treatment effect of the two groups, satisfaction, lip survival rate and the degree of obvious scars were compared.Results he operation effect of the two groups was good.The satisfaction rates of group A and group B were 94.00% and 96.00%,respectively.For the lip shape treatment satisfaction, the difference was no statistically significant （P〉0.05）.The patients of the two groups with lip all alive, and 1 patient in group A with obvious scar, the scar was not obvious in group B.Conclusion For patients with red lip defect, take orbicularis oris muscles pedicle island flap of the oral mucosa or red lip flap to promote repair treatment has relatively significant clinical efficacy, with easy operation, less influence on the patients with facial form, it is worthy of popularizing.

关 键 词：口腔黏膜瓣 红唇缺损 修复 口轮匝肌蒂岛状 

分 类 号：R782.2[医药卫生—口腔医学]