股前外侧皮瓣与胸锁乳突肌肌皮瓣同期修复口腔癌手术缺损的效果比较  

Comparison on the Effects of Anterolateral Femoral Flap and Sternocleidomastoid Myocutaneous Flap in the Reconstruction of Defects after Oral Cancer Surgery at the Same Period

作　　者：廖壮群 张玉婷 吴泽健 扶晟 LIAO Zhuangqun;ZHANG Yuting;WU Zejian;FU Sheng(Department of Stomatology,Xiaolan Hospital Affiliated to Southern Medical University,Zhongshan 528415,China;Department of Stomatology,Puning People＇s Hospital,Puning 515300,China)

机构地区：[1]南方医科大学附属小榄医院口腔科,广东中山528415 [2]普宁市人民医院口腔科,广东普宁515300

出　　处：《临床医学工程》2018年第7期855-856,共2页Clinical Medicine & Engineering

基　　金：中山市医学科研项目(项目编号:2016A020267)

摘　　要：目的比较股前外侧皮瓣与胸锁乳突肌肌皮瓣同期修复口腔癌手术缺损的疗效。方法选取我院2011年1月至2016年12月收治的口腔癌手术缺损78例患者,A组(41例)行股前外侧皮瓣修复手术,B组(37例)行胸锁乳突肌肌皮瓣修复手术。比较两组患者的皮瓣面积、皮瓣制取时间、血管蒂长度、皮瓣坏死率及治疗前后的语音清晰度和吞咽功能。结果 B组的皮瓣面积、血管蒂长度、皮瓣制取时间、皮瓣坏死率均优于A组(P<0.05)。治疗前,两组患者的语音清晰度和吞咽功能评分比较均无统计学差异(P>0.05);治疗后,两组患者的语音清晰度和吞咽功能评分较治疗前下降(P<0.05),且B组的语音清晰度和吞咽功能评分均明显低于A组(P<0.05)。结论与股前外侧皮瓣修复手术比较,胸锁乳突肌肌皮瓣同期修复口腔癌手术缺损用时较短,皮瓣坏死率较低,语音清晰度和吞咽功能情况较好。Objective To compare the curative effects of anterolateral femoral flap and sternocleidomastoid myocutaneous flap in the reconstruction of defects after oral cancer surgery at the same period. Methods 78 cases of patients with defects after oral cancer surgery admitted to our hospital from January 2011 to December 2016 were selected. Group A（41 cases） received anterolateral femoral flap reconstruction, while group B（37 cases） received sternocleidomastoid myocutaneous flap reconstruction. The flap area, flap preparation time, vascular pedicle length, flap necrosis rate, speech intelligibility and swallowing function before and after treatment were compared between the two groups. Results The flap area, vascular pedicle length, flap preparation time and flap necrosis rate of group B were better than those of group A（P〈0.05）. Before treatment, no statistical difference was found in the speech intelligibility and swallowing function scores between the two groups（P〈0.05）. After treatment, the speech intelligibility and swallowing function scores of both groups decreased compared with those before treatment（P〈0.05）, and the speech intelligibility and swallowing function scores of group B were significantly lower than those of group A（P〈0.05）. Conclusions Compared with the anterolateral femoral flap reconstruction, the sternocleidomastoid myocutaneous flap in the reconstruction of defects after oral cancer surgery at the same period has shorter time, lower flap necrosis rate, and better speech intelligibility and swallowing function.

关 键 词：口腔癌 股前外侧皮瓣 胸锁乳突肌皮瓣 疗效 

分 类 号：R739.8[医药卫生—肿瘤]