传统皮瓣与穿支皮瓣在面颌缺损整形手术中的应用效果比较  

Comparison of the effect of traditional flap and perforator flap in facial plastic surgery

作　　者：梁向新[1] 余晓波[2] 黄媖 LIANG Xiangxin YU Xiaobo HUANG Ying(Department of Oral and Maxillofacial Surgery, Stomatological Hospital affiliated to Jiujiang University, Jiujiang 332000, China School of Nursing, Jiujiang University, Jiujiang 332000, China Medical Imaging Center, Stomatological Hospital affiliated to Jiujiang University, Jiujiang 332000, China)

机构地区：[1]江西省九江学院附属口腔医院口腔颌面外科,九江332000 [2]江西省九江学院护理学院,九江332000 [3]江西省九江学院附属口腔医院医学影像中心,九江332000

出　　处：《上海医药》2017年第21期50-52,58,共4页Shanghai Medical & Pharmaceutical Journal

基　　金：2017年江西省卫生计生委科技计划课题(20174025)

摘　　要：目的 :比较分析传统皮瓣与穿支皮瓣在面颌缺损整形手术中的应用效果。方法 :选取2016年1月—2017年1月我院口腔颌面外科收治的行面颌缺损整形手术患者100例,按照随机、对照、双盲试验原则分为两组,行传统皮瓣手术的50例患者作为对照组,行穿支皮瓣手术的50例患者作为观察组。结果 :观察组患者皮瓣成活率98.00%,显著高于对照组的96.00%(P<0.05);观察组患者切口长度短于对照组,手术时间、供区愈合时间较对照组明显缩短(P<0.05);观察组患者皮瓣中心轴线与轴血管垂直线夹角明显小于对照组(P<0.05),两组断蒂时间比较P>0.05;两组患者术后外形、语言、吞咽功能良好恢复率比较P>0.05。结论:在面颌缺损整形手术中,传统皮瓣与穿支皮瓣在手术风险、皮瓣存活率、术后功能等方面存在一定的共性和差异,临床应根据实际情况选择皮瓣类型。Objective：To analyze and compare the effect of traditional flap and perforator flap in facial plastic surgery.Methods：One hundred patients with maxillofacial defects treated in our department of oral and maxillofacial surgery were divided into a control group（underwent traditional flap surgery） and an observation group（underwent perforator flap surgery） with 50 cases each based on a randomized,controlled and double-blind trial method.Results：The survival rate of flap was significantly higher in the observation group than in the control group（98% vs 96%,P0.05）.The length of incision and time for operation and healing of the donor site were shorter in the observation group than in the control group（P0.05）.The angle between the axis of the flap and the axis of the vessel was significantly smaller in the observation group than in the control group（P0.05）.There were no significant differences in the time for pedicle breaking and the appearance,speech and the recovery rate of swallowing function between the two groups（P0.05）.Conclusion：There exist some similarities and differences in facial plastic surgery in the surgical risk,flap survival rate and postoperative function between the traditional flap and perforator flap.So the type of flap should be carefully chosen based on the actual situation.

关 键 词：穿支皮瓣 传统皮瓣 面颌缺损 整形手术 

分 类 号：R782.2[医药卫生—口腔医学]