面-颏下动脉岛状皮瓣修复年轻与老年舌癌患者的效果比较  

Comparison of facial-submental artery island flap for repairing younger and older patients with tongue squamous cell carcinoma

作　　者：陈永菊 陈伟良[1] 周斌[1] 钟江龙 汪延[1] 陈睿[1] CHEN Yong-ju;CHEN Wei-liang;ZHOU Bin;ZHONG Jiang-long;WANG Yan;CHEN Rui(Department of Oral and Maxillofacial Surgery,Sun Yat-sen Memorial Hospital,Sun Yat-sen University,Guangzhou 510120,Guangdong Province,China)

机构地区：[1]中山大学孙逸仙纪念医院口腔颌面外科,广东广州510120

出　　处：《中国口腔颌面外科杂志》2020年第2期117-121,共5页China Journal of Oral and Maxillofacial Surgery

基　　金：国家自然科学基金(81772888)。

摘　　要：目的:评估面-颏下动脉岛状肌皮瓣(facial-submental artery island flap,FSAIF)修复年轻与老年舌癌患者的效果。方法:选取2008年1月—2017年6月中山大学孙逸仙纪念医院口腔颌面外科收治的舌鳞状细胞癌(tongue squamous cell carcinoma,TSCC)患者96例,所有患者均采用FSAIF进行肿瘤切除后半舌缺损的同期整复;按年龄分为<60岁(62例)及≥60岁(34例)2组;皮瓣大小分别为3 cm×6 cm^5 cm×12 cm(<60岁)和3 cm×9 cm^5 cm×15 cm(≥60岁)。所有患者均未行术后放疗,术后对每例患者随访并观察吞咽、言语功能及美观效果。采用SPSS 20.0软件包对数据进行统计学分析。结果:3例患者皮瓣失败,皮瓣存活率为96.9%(93/96),2组皮瓣存活率无显著差异;2组患者吞咽、言语、美学及后期生存状态无显著差异。结论:FSAIF适用于修复肿瘤切除后的半舌缺损,无论年轻还是年老患者。PURPOSE:The purpose of this study was to evaluate the outcomes of younger and older patients with tongue cancer using facial-submental artery island flap(FSAIF).METHODS:This study evaluated 96 patients with tongue squamous cell carcinoma(TSCC)who underwent FSAIF for reconstructing the hemitongue following cancer ablation.They were divided into two groups,namely<60 years(n=62)and≥60 years(n=34)age group.The skin paddles were 3 cm×6 cm-5 cm×12 cm(<60 years)and 3 cm×9 cm-5 cm×15 cm(≥60 years)in size,respectively.None of the patients underwent radiotherapy.All the patients were followed up and their postoperative status were observed including swallowing,speech function,and aesthetic effects.Statistical analysis was performed using SPSS 20.0 software package.RESULTS:The flap success rate was 96.9%and there was no significant difference in the rate of flap success between the two groups.No differences in swallowing,speech,aesthetic outcome and living status were observed between the two groups.CONCLUSIONS:FSAIF is suitable for reconstructing the hemitongue following cancer ablation,no matter in young or old patients.

关 键 词：舌鳞状细胞癌 面-颏下动脉 岛状皮瓣 半舌缺损 

分 类 号：R782.2[医药卫生—口腔医学]