颈阔肌肌皮瓣在颌面部创伤修复中的应用  

Application of Platysma Musculocutaneous Flap in the Repair of Maxillofacial Trauma

作　　者：刘莉 刘宏超 LIU Li;LIU Hongchao(Department of Surgery,People＇s Hospital of Congtai District,Handan 056002,China;Department of Surgery,Zunhua People＇s Hospital,Tangshan 064200,China.)

机构地区：[1]邯郸市丛台区人民医院外科,河北省邯郸市056002 [2]遵化市人民医院外科,河北省唐山市064200

出　　处：《组织工程与重建外科杂志》2018年第5期272-274,共3页Journal of Tissue Engineering and Reconstructive Surgery

基　　金：邯郸市科学技术研究与发展计划(1220108088-11)

摘　　要：目的讨论颈阔肌肌皮瓣在颌面部创伤修复中的应用效果。方法回顾性分析我院2015年6月至2017年12月的125例颌面部创伤修复患者,其中63例采取颈阔肌肌皮瓣修复(实验组),62例行股前外侧肌皮瓣修复(对照组)。比较两组的手术时间、术中出血量、住院时间、供区创面愈合时间、受区创面愈合时间、颌面部功能评分及并发症发生率等。结果实验组的手术时间、术中出血量、供区创面愈合时间显著低于对照组(P<0.01);两组住院时间、受区创面愈合时间无显著差异(P>0.05);实验组颌面部功能评分明显高于对照组(P<0.01),其皮瓣坏死率(3.17%vs. 11.29%)、并发症发生率(12.70%vs. 24.9%)均显著低于对照组(P<0.05)。结论采取颈阔肌肌皮瓣修复颌面部创伤,能够显著降低术中风险,提高颌面部功能预后,减少并发症,值得临床推广应用。Objective To explore the clinical efficacy of platysma musculocutaneous flap in the repair of maxillofacial trauma. Methods A total of 125 patients with maxillofacial trauma treated in our hospital from June 2015 to December 2017 were retrospectively analyzed. Sixty-three patients were treated with platysma musculocutaneous flap as the experimental group, while 62 patients were treated with anterolateral thigh musculocutaneous flap as the control group. The operation time, intra-operative blood loss, hospitalization days, donor wound healing time, wound healing time, maxillofacial function score and complication rate were compared between the two groups. Results The operation time, intra-operative blood loss and wound healing time of the donor side in the experimental group were significantly lower than those in the control group （P〈0.01）. There was no significant difference in the length of hospital stay and wound healing time between the two groups （P〉0.05）. The score of maxillofacial function in the experimental group was significantly higher than that in the control group （P〈0.01）. The skin flap necrosis rate （3.17% vs. 11.29%） and the complication rate （12.70% vs. 24.9%） of the experimental group were both significantly lower than that of the control group （P〈0.05）. Conclusion Repairing the maxillofacial trauma with the platysma musculocutaneous flap can significantly reduce the intra-operative risk, improve the prognostic function of the maxillofacial region and reduce complications. It is worthy of clinical promotion.

关 键 词：颈阔肌肌皮瓣 股前外侧肌皮瓣 颌面部创伤 修复 

分 类 号：R622[医药卫生—整形外科]