无覆盖带蒂颊脂垫组织瓣治疗口腔黏膜缺损的疗效观察  

Effect of uncovered pedicled buccal fat pad flap in the treatment of oral mucosal defect

作　　者：王庆 

机构地区：[1]山东省千佛山集团曹县人民医院口腔科,山东省菏泽274400

出　　处：《中国基层医药》2018年第5期657-660,I0004,共5页Chinese Journal of Primary Medicine and Pharmacy

摘　　要：目的探究无覆盖带蒂颊脂垫组织瓣治疗口腔黏膜缺损的临床疗效及预后。方法选择65例口腔黏膜缺损的患者作为研究对象，通过无覆盖带蒂颊脂垫组织瓣移植的方法对缺损的口腔黏膜进行修复，术后随访1—12个月，观察术后并发症、成活率、疗效、发音清晰度等。结果患者术后3个月口腔黏膜缺损部位的黏膜光滑且呈粉红色，与周围正常的口腔黏膜形态类似；术后并发症的发生率为3．08％；术后显效率为58．46％，有效率为41．54％，无效率为0．00％，总有效率为100．00％；术后发音清度Ⅰ级率为53．85％，Ⅱ级率为30．77％，Ⅲ级率为12．31％，Ⅳ级率为3．08％。结论使用无覆盖带蒂颊脂垫组织瓣移植治疗口腔黏膜缺损具有操作简单，成功率高，并发症少，术后疗效显著的特点，是治疗口腔黏膜缺损较为理想的修复方法。Objective To explore the clinical efficacy and prognosis of uncovered pedicled buccal fat pad flap in the treatment of oral mueosal defect. Methods 65 patients with oral mucosal defects were selected as the subjects. The defects of the oral mucosa were repaired by the method of transplantation with uncovered pedicled buccal fat pad flap. All patients were followed up for 1 to 12 months. The postoperative complications, survival rate, curative effect and articulation were observed. Results 3 months after operation, the mucosa of the oral mucosa defect was smooth and pink, similar to the norm- oral mucosa. The incidence rate of postoperative complications was 3.08 %. The total effective rate was 100. 00%. After operation, the rate of grade I was 53.85%, the rate of grade 11 was 30. 77%, the rate of grade Ill was about 4.00%, and the rate of grade IV was about 3.08%. Conclusion The trans- plantation with uncovered pedicled buccal fat pad flap for the treatment of oral mucosal defect with simplified opera- tion has high success rate, less postoperative complications, significant curative effect, and it is an ideal method for the treatment of the defect of oral mucosa.

关 键 词：口腔粘膜 外科皮瓣 移植 预后 

分 类 号：R781.5[医药卫生—口腔医学]