游离腓骨瓣和股前外侧穿支皮瓣修复单侧上颌骨缺损患者的生存质量问卷调查研究  

Study on comparative questionnaire of quality of life of unilateral maxillary defect patients after reconstruction with free anterolateral thigh perforator flap and free fibula flap

作　　者：刘志荣 彭歆[2] 章文博 Liu Zhirong;Peng Xin;Zhang Wenbo(Stomatology of Shanxi Dayi Hospital,Taiyuan 030032,China)

机构地区：[1]山西大医院口腔科,太原030032 [2]北京大学口腔医院口腔颌面外科

出　　处：《中华整形外科杂志》2018年第8期644-647,共4页Chinese Journal of Plastic Surgery

摘　　要：目的 通过对患者问卷调查分析比较应用游离腓骨瓣和股前外侧穿支皮瓣修复单侧上颌骨缺损术后患者生存质量的差异.方法 以2014年3月至2015年6月,北京大学口腔医院收治的单侧上颌骨肿瘤,并采用游离腓骨瓣或股前外侧穿支皮瓣修复肿瘤切除后上颌骨缺损的患者为研究对象.术后1年对2组患者进行临床随访,应用华盛顿大学生存质量量表进行评分.结果 腓骨瓣组20例,得分为（89.37±15.34）分,股前外侧穿支皮瓣组20例,得分为（88.04±15.78）分,两者比较差异无统计学意义（t=0.17,P=0.36）.结论 采用游离腓骨瓣和股前外侧穿支皮瓣在改善上颌骨缺损患者术后生存质量方面总体无明显差异.Objective The difference in quality of life between patients with unilateral maxillary defect repaired by free fibular flap and anterior lateral femoral perforator flap was compared with questionnaireanalysis.Methods In March 2014 to June 2015,40 cases of tumor resection caused unilateral maxillary defects were included in this study,which were treated with free fibula flap or femoral anterolateral perforator flap in Peking University Stomatological Hospital.Two groups of patients were followed up one year after surgery,and the University of Washington Quality of Life Scale score was obtained.Results The score of fibular flap group was 89.37± 15.34 and score of anterior lateral femoral perforator flap group was 88.04 ± 15.78 （t =0.17,P =0.36）.Conclusions There was no significant difference between free fibular flap and anterior lateral femoral perforator flap in improving postoperative quality of life.

关 键 词：上颌骨缺损 股前外侧皮瓣 腓骨骨瓣 生存质量 问卷调查表 

分 类 号：R782[医药卫生—口腔医学]