老年颊癌患者临近组织瓣修复术后软组织缺损的临床研究  

Clinical study on adjacent tissue flap for repairing postoperative soft tissue defect in elderly patients with buccal cancer

作　　者：丁榆德 王连飞 苏奎玮 王权炳 吴骞 高金星[1] 程刚[1] DING Yude;WANG Lianfei;SU Kuiwei;WANG Quanbing;WU Qian;GAO Jinxing;CHENG Gang(Department of Stomatology,Zhejiang Provinccal People′s Hospital,Hangzhou,Zhejiang 310014,China;Faculty of Oral Medicine,Bengbu Medical College,Bengbu,Anhui 233030,China)

机构地区：[1]浙江省人民医院口腔科,杭州310014 [2]蚌埠医学院口腔医学系,安徽蚌埠233030

出　　处：《重庆医学》2020年第21期3561-3564,共4页Chongqing medicine

基　　金：浙江省医药卫生科研项目(2017205515)。

摘　　要：目的探讨应用颏下动脉岛状皮瓣与颊脂肪垫瓣修复重建老年颊癌患者术后组织缺损的临床效果。方法选择2010年1月至2019年1月浙江省人民医院口腔科收治的老年口腔颊部鳞状细胞癌患者36例,其中使用颏下动脉岛状皮瓣(SAIF)修复重建术后颊部软组织缺损20例(SAIF组),采用邻近颊脂肪垫瓣修复重建术后颊部软组织缺损16例(颊脂肪垫组),比较分析两组患者的皮瓣成功率、复发率、术后张口受限与术后生存质量等情况。结果SAIF组术后成活19例(95.00%),复发2例(10.00%),张口受限2例(10.00%),术后生存质量总评分(740.95±23.60)分;颊脂肪垫组术后成活15例(93.75%),复发1例(6.25%),张口受限3例(18.75%),术后生存质量总评分为(756.13±20.32)分。两组患者相关指标比较差异无统计学意义(P>0.05)。结论老年颊癌患者SAIF与颊脂肪垫瓣均能较好的修复重建软组织缺损,并提高老年患者的术后生存质量。Objective To investigate the clinical effect of submental artery island flap(SAIF)and buccal fat pad flap in repairing and reconstructing the postoperative tissue defect in elderly patients with buccal cancer.Methods Thirty-six elderly patients with buccal squamous cell carcinoma in the stomatology department of the Zhejiang Provincial People′s Hospital from January 2010 to January 2019 were selected,among them,20 cases of postoperative buccal soft tissue defect were repaired by SAIF(the SAIF group)and 16 cases were repaired by adjacent buccal fat pad flap(the buccal fat pad group).The flap success rates,recurrence rates,limitations of postoperative mouth opening and postoperative survival quality were compared between the two groups.Results In the SAIF group,19 cases(95.00%)survived,2 cases(10.00%)recurred,2 cases had the limitation of mouth opening(10.00%),and the total score of postoperative quality of life was(740.95±23.60)points;in the buccal fat pad group,15 cases(93.75%)survived,1 case(6.25%)recurred,3 cases(18.75%)had the limitation of mouth opening,and the total score of postoperative quality of life was(756.13±20.32)points,and the differences in the related indicators between the two groups had no statistical significance(P>0.05).Conclusion SAIF and buccal fat pad flap can better repair and reconstruct the soft tissue defects in the elderly patients with buccal cancer,and improve the postoperative living quality of the elderly patients.

关 键 词：颏下动脉岛状皮瓣 颊脂肪垫 颊癌 软组织缺损 修复 

分 类 号：R782.26[医药卫生—口腔医学]